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 $354.81 Median $812.83 Typical High $1,513.56 | Facility | None | $354.81 | $812.83 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $354.81 Typical High $645.65 | Professional | None (both parts) | $346.74 | $354.81 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $134.90 Typical High $186.21 | Professional | 26 · Professional part | $109.65 | $134.90 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $478.63 | Professional | TC · Technical part | $218.78 | $218.78 | $478.63 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $407.38 | Professional | None (both parts) | $398.11 | $398.11 | $407.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
BCBS Arizona Setting Facility Modifier None Typical Low $169.82 Median $776.25 Typical High $1,174.90 | Facility | None | $169.82 | $776.25 | $1,174.90 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $630.96 | Professional | None (both parts) | $331.13 | $331.13 | $630.96 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $213.80 | Professional | 26 · Professional part | $112.20 | $112.20 | $213.80 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $213.80 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,000.00 Typical High $1,819.70 | Facility | None | $457.09 | $1,000.00 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $549.54 Typical High $1,122.02 | Professional | None (both parts) | $302.00 | $549.54 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $109.65 Typical High $213.80 | Professional | 26 · Professional part | $77.62 | $109.65 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $407.38 Typical High $891.25 | Professional | TC · Technical part | $223.87 | $407.38 | $891.25 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $812.83 Typical High $2,754.23 | Facility | None | $346.74 | $812.83 | $2,754.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $4,786.30 Typical High $4,786.30 | Professional | None (both parts) | $380.19 | $4,786.30 | $4,786.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $1,621.81 Typical High $1,621.81 | Professional | 26 · Professional part | $100.00 | $1,621.81 | $1,621.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $3,630.78 Typical High $3,630.78 | Professional | TC · Technical part | $281.84 | $3,630.78 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $446.68 Typical High $812.83 | Professional | None (both parts) | $354.81 | $446.68 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $102.33 Typical High $204.17 | Professional | 26 · Professional part | $100.00 | $102.33 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $331.13 Typical High $630.96 | Professional | TC · Technical part | $257.04 | $331.13 | $630.96 |
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 $165.96 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $165.96 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $66.07 | $70.79 | $70.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | FX · Film X-ray | $281.84 | $281.84 | $281.84 |
Where Arizona sits
The same service costs 6.8 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
$468
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.