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 $107.15 Median $457.09 Typical High $741.31 | Facility | TC · Technical part | $107.15 | $457.09 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $316.23 | Professional | None (both parts) | $169.82 | $169.82 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $95.50 Typical High $125.89 | Professional | 26 · Professional part | $56.23 | $95.50 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $234.42 | Professional | TC · Technical part | $74.13 | $74.13 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
BCBS Arizona Setting Facility Modifier None Typical Low $52.48 Median $229.09 Typical High $338.84 | Facility | None | $52.48 | $229.09 | $338.84 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $251.19 | Professional | None (both parts) | $131.83 | $131.83 | $251.19 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $134.90 | Professional | 26 · Professional part | $69.18 | $69.18 | $134.90 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $120.23 | Professional | TC · Technical part | $61.66 | $61.66 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $660.69 Typical High $9,120.11 | Facility | None | $269.15 | $660.69 | $9,120.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $208.93 Typical High $512.86 | Professional | None (both parts) | $134.90 | $208.93 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $165.96 | Professional | 26 · Professional part | $63.10 | $75.86 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $100.00 Typical High $389.05 | Professional | TC · Technical part | $60.26 | $100.00 | $389.05 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $186.21 Typical High $645.65 | Facility | None | $169.82 | $186.21 | $645.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $177.83 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $177.83 | $3,162.28 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $63.10 | $676.08 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $81.28 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $407.38 | Professional | None (both parts) | $177.83 | $245.47 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $61.66 | $83.18 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $147.91 Typical High $346.74 | Professional | TC · Technical part | $81.28 | $147.91 | $346.74 |
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 $75.86 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $75.86 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $30.90 | $33.88 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | FX · Film X-ray | $134.90 | $134.90 | $134.90 |
Where Arizona sits
The same service costs 5.1 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· 26th of 51
$245
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.