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 TC · Technical part Typical Low $64.57 Median $275.42 Typical High $436.52 | Facility | TC · Technical part | $64.57 | $275.42 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $74.13 | Professional | None (both parts) | $67.61 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $28.84 | Professional | 26 · Professional part | $23.99 | $23.99 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $47.86 | Professional | TC · Technical part | $43.65 | $43.65 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $34.67 Typical High $50.12 | Professional | 26 · Professional part | $23.99 | $34.67 | $50.12 |
BCBS Arizona Setting Facility Modifier None Typical Low $10.72 Median $25.12 Typical High $66.07 | Facility | None | $10.72 | $25.12 | $66.07 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None (both parts) | $21.38 | $21.38 | $21.38 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $33.11 | Professional | 26 · Professional part | $21.38 | $21.38 | $33.11 |
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 $54.95 Median $54.95 Typical High $120.23 | Professional | None (both parts) | $54.95 | $54.95 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $40.74 | Professional | 26 · Professional part | $19.50 | $19.50 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $77.62 | Professional | TC · Technical part | $35.48 | $35.48 | $77.62 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $213.80 Typical High $616.60 | Facility | None | $67.61 | $213.80 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $229.09 Typical High $891.25 | Professional | None (both parts) | $151.36 | $229.09 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $50.12 Typical High $346.74 | Professional | 26 · Professional part | $32.36 | $50.12 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $173.78 Typical High $812.83 | Professional | TC · Technical part | $120.23 | $173.78 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $169.82 Typical High $177.83 | Professional | None (both parts) | $147.91 | $169.82 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $37.15 | Professional | 26 · Professional part | $30.90 | $35.48 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $134.90 Typical High $144.54 | Professional | TC · Technical part | $117.49 | $134.90 | $144.54 |
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 $33.88 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | FX · Film X-ray | $53.70 | $53.70 | $53.70 |
Where Arizona sits
The same service costs 6.6 times more in Nebraska 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· 17th of 51
$151
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.