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 $128.82 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $128.82 | $138.04 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $15.85 | $25.12 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $112.20 Typical High $173.78 | Professional | TC · Technical part | $107.15 | $112.20 | $173.78 |
BCBS Arizona Setting Facility Modifier None Typical Low $81.28 Median $346.74 Typical High $524.81 | Facility | None | $81.28 | $346.74 | $524.81 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $218.78 | Professional | None (both parts) | $112.20 | $112.20 | $218.78 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $35.48 | Professional | 26 · Professional part | $18.20 | $18.20 | $35.48 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $181.97 | Professional | TC · Technical part | $95.50 | $95.50 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $457.09 Typical High $1,122.02 | Facility | None | $190.55 | $457.09 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $114.82 Typical High $190.55 | Professional | None (both parts) | $66.07 | $114.82 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.95 Typical High $38.90 | Professional | 26 · Professional part | $16.60 | $19.95 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $95.50 Typical High $154.88 | Professional | TC · Technical part | $48.98 | $95.50 | $154.88 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $151.36 Typical High $281.84 | Facility | None | $109.65 | $151.36 | $281.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $69.18 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $69.18 | $891.25 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $17.38 | $147.91 | $147.91 |
Medica Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $52.48 | $758.58 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $131.83 Typical High $338.84 | Professional | None (both parts) | $66.07 | $131.83 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.88 Typical High $33.11 | Professional | 26 · Professional part | $16.60 | $21.88 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $107.15 Typical High $295.12 | Professional | TC · Technical part | $50.12 | $107.15 | $295.12 |
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 $131.83 Median $562.34 Typical High $912.01 | Facility | FX · Film X-ray | $131.83 | $562.34 | $912.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $69.18 Typical High $70.79 | Professional | 52 · Reduced service | $64.57 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $27.54 Typical High $28.18 | Professional | 53 · Discontinued | $26.30 | $27.54 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | FX · Film X-ray | $109.65 | $109.65 | $109.65 |
Where Arizona sits
The same service costs 4.1 times more in Alaska than in Utah. 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· 33rd of 51
$138
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.