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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $186.21 | Professional | None (both parts) | $85.11 | $104.71 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.22 Typical High $25.12 | Professional | 26 · Professional part | $14.13 | $16.22 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $158.49 | Professional | TC · Technical part | $72.44 | $89.13 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
BCBS Arizona Setting Facility Modifier None Typical Low $66.07 Median $281.84 Typical High $426.58 | Facility | None | $66.07 | $281.84 | $426.58 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $173.78 | Professional | None (both parts) | $89.13 | $89.13 | $173.78 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $23.44 | Professional | 26 · Professional part | $12.30 | $12.30 | $23.44 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $147.91 | Professional | TC · Technical part | $77.62 | $77.62 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $354.81 Typical High $724.44 | Facility | None | $263.03 | $354.81 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $87.10 Typical High $165.96 | Professional | None (both parts) | $79.43 | $87.10 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.22 Typical High $30.90 | Professional | 26 · Professional part | $13.18 | $16.22 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $74.13 Typical High $138.04 | Professional | TC · Technical part | $64.57 | $74.13 | $138.04 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $114.82 Typical High $331.13 | Facility | None | $95.50 | $114.82 | $331.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $85.11 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $85.11 | $691.83 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $15.85 | $151.36 | $151.36 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $69.18 | $588.84 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $81.28 | $100.00 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.60 Typical High $26.92 | Professional | 26 · Professional part | $15.14 | $16.60 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $117.49 | Professional | TC · Technical part | $64.57 | $83.18 | $117.49 |
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 $46.77 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $46.77 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $18.62 | $20.89 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $83.18 | $83.18 | $83.18 |
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· 35th of 51
$105
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.