How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $223.87 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $95.50 | $104.71 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $134.90 | $165.96 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
BCBS Arizona Setting Facility Modifier None Typical Low $123.03 Median $288.40 Typical High $758.58 | Facility | None | $123.03 | $288.40 | $758.58 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $234.42 | $234.42 | $363.08 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $125.89 | Professional | 26 · Professional part | $79.43 | $79.43 | $125.89 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $239.88 | Professional | TC · Technical part | $151.36 | $151.36 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $173.78 Typical High $602.56 | Facility | None | $97.72 | $173.78 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $213.80 Typical High $331.13 | Professional | None (both parts) | $199.53 | $213.80 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $138.04 | Professional | 26 · Professional part | $83.18 | $83.18 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $131.83 Typical High $190.55 | Professional | TC · Technical part | $102.33 | $131.83 | $190.55 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $295.12 Typical High $1,174.90 | Facility | None | $204.17 | $295.12 | $1,174.90 |
Medica Setting Professional Modifier None (both parts) Typical Low $204.17 Median $331.13 Typical High $1,698.24 | Professional | None (both parts) | $204.17 | $331.13 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $151.36 Typical High $630.96 | Professional | 26 · Professional part | $95.50 | $151.36 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $181.97 Typical High $1,047.13 | Professional | TC · Technical part | $102.33 | $181.97 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $186.21 | $208.93 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $102.33 Typical High $107.15 | Professional | 26 · Professional part | $89.13 | $102.33 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $109.65 Typical High $151.36 | Professional | TC · Technical part | $97.72 | $109.65 | $151.36 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $194.98 Median $812.83 Typical High $1,318.26 | Facility | FX · Film X-ray | $194.98 | $812.83 | $1,318.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $123.03 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $48.98 | $53.70 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | FX · Film X-ray | $213.80 | $213.80 | $213.80 |
Where Arizona sits
The same service costs 5.4 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 27th of 51
$251
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.