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 $416.87 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $416.87 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $23.44 | $26.30 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $416.87 | $588.84 | $588.84 |
BCBS Arizona Setting Facility Modifier None Typical Low $407.38 Median $1,737.80 Typical High $2,630.27 | Facility | None | $407.38 | $1,737.80 | $2,630.27 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $954.99 | Professional | None (both parts) | $501.19 | $501.19 | $954.99 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $37.15 | Professional | 26 · Professional part | $19.05 | $19.05 | $37.15 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $933.25 | Professional | TC · Technical part | $478.63 | $478.63 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $1,548.82 | Facility | None | $158.49 | $190.55 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $72.44 Typical High $134.90 | Professional | None (both parts) | $57.54 | $72.44 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.70 Typical High $48.98 | Professional | 26 · Professional part | $21.38 | $25.70 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $46.77 Typical High $85.11 | Professional | TC · Technical part | $36.31 | $46.77 | $85.11 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $588.84 Typical High $851.14 | Facility | None | $40.74 | $588.84 | $851.14 |
Medica Setting Professional Modifier None (both parts) Typical Low $75.86 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $75.86 | $851.14 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $25.70 | $154.88 | $154.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $50.12 | $812.83 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $380.19 Typical High $741.31 | Professional | None (both parts) | $72.44 | $380.19 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.92 Typical High $42.66 | Professional | 26 · Professional part | $24.55 | $26.92 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $354.81 Typical High $741.31 | Professional | TC · Technical part | $45.71 | $354.81 | $741.31 |
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 $676.08 Median $2,884.03 Typical High $4,677.35 | Facility | FX · Film X-ray | $676.08 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $208.93 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $83.18 | $117.49 | $117.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $389.05 Median $467.74 Typical High $467.74 | Professional | FX · Film X-ray | $389.05 | $467.74 | $467.74 |
Where Arizona sits
The same service costs 8.7 times more in Colorado than in Michigan. 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· 6th of 51
$513
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.