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 Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $26.92 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.47 Typical High $10.47 | Professional | 26 · Professional part | $9.55 | $10.47 | $10.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $19.05 Typical High $19.05 | Professional | TC · Technical part | $17.38 | $19.05 | $19.05 |
BCBS Arizona Setting Facility Modifier None Typical Low $4.37 Median $18.62 Typical High $28.18 | Facility | None | $4.37 | $18.62 | $28.18 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $8.13 Median $8.13 Typical High $15.85 | Professional | None (both parts) | $8.13 | $8.13 | $15.85 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $15.85 | Professional | 26 · Professional part | $8.13 | $8.13 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $229.09 | Facility | None | $158.49 | $190.55 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $29.51 Typical High $54.95 | Professional | None (both parts) | $23.99 | $29.51 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.77 Typical High $19.95 | Professional | 26 · Professional part | $8.51 | $9.77 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $19.05 Typical High $35.48 | Professional | TC · Technical part | $15.49 | $19.05 | $35.48 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $32.36 Typical High $60.26 | Facility | None | $29.51 | $32.36 | $60.26 |
Medica Setting Professional Modifier None (both parts) Typical Low $41.69 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $41.69 | $302.00 | $302.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $10.72 | $131.83 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $29.51 | $275.42 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $53.70 Typical High $89.13 | Professional | None (both parts) | $39.81 | $53.70 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.96 Typical High $16.98 | Professional | 26 · Professional part | $10.23 | $10.96 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $41.69 Typical High $69.18 | Professional | TC · Technical part | $28.84 | $41.69 | $69.18 |
3 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 Professional Modifier 52 · Reduced service Typical Low $13.18 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $13.18 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $5.37 | $5.89 | $5.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | FX · Film X-ray | $23.44 | $23.44 | $23.44 |
Where Arizona sits
The same service costs 4.7 times more in Alaska than in Florida. 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
$41.69
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.