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 $39.81 Median $169.82 Typical High $269.15 | Facility | TC · Technical part | $39.81 | $169.82 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $42.66 Typical High $75.86 | Professional | None (both parts) | $41.69 | $42.66 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $22.91 | Professional | 26 · Professional part | $13.49 | $15.85 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.92 Typical High $52.48 | Professional | TC · Technical part | $26.30 | $26.92 | $52.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $42.66 | Professional | None (both parts) | $32.36 | $32.36 | $42.66 |
BCBS Arizona Setting Facility Modifier None Typical Low $19.50 Median $83.18 Typical High $125.89 | Facility | None | $19.50 | $83.18 | $125.89 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $66.07 | Professional | None (both parts) | $34.67 | $34.67 | $66.07 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $22.39 | Professional | 26 · Professional part | $11.75 | $11.75 | $22.39 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $43.65 | Professional | TC · Technical part | $22.91 | $22.91 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $186.21 Typical High $1,122.02 | Facility | None | $100.00 | $186.21 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $44.67 Typical High $89.13 | Professional | None (both parts) | $33.88 | $44.67 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.49 Typical High $29.51 | Professional | 26 · Professional part | $12.88 | $15.49 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $64.57 | Professional | TC · Technical part | $20.89 | $26.92 | $64.57 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $46.77 Typical High $123.03 | Facility | None | $42.66 | $46.77 | $123.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $40.74 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $40.74 | $389.05 | $389.05 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $15.49 | $102.33 | $102.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $24.55 | $302.00 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $51.29 Typical High $79.43 | Professional | None (both parts) | $38.90 | $51.29 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.22 Typical High $26.30 | Professional | 26 · Professional part | $14.79 | $16.22 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $34.67 Typical High $60.26 | Professional | TC · Technical part | $23.44 | $34.67 | $60.26 |
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 $19.50 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $19.50 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $7.76 | $8.51 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | FX · Film X-ray | $33.88 | $33.88 | $33.88 |
Where Arizona sits
The same service costs 3.8 times more in Alaska than in New York. 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· 32nd of 51
$54.95
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.