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 $151.36 Median $645.65 Typical High $1,047.13 | Facility | TC · Technical part | $151.36 | $645.65 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $144.54 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $51.29 | $56.23 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $93.33 | $104.71 | $104.71 |
BCBS Arizona Setting Facility Modifier None Typical Low $72.44 Median $309.03 Typical High $467.74 | Facility | None | $72.44 | $309.03 | $467.74 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $125.89 | $125.89 | $239.88 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $77.62 | Professional | 26 · Professional part | $40.74 | $40.74 | $77.62 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $162.18 | Professional | TC · Technical part | $85.11 | $85.11 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $602.56 Typical High $8,511.38 | Facility | None | $380.19 | $602.56 | $8,511.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $478.63 | Professional | None (both parts) | $128.82 | $186.21 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $107.15 | Professional | 26 · Professional part | $45.71 | $56.23 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $123.03 Typical High $371.54 | Professional | TC · Technical part | $83.18 | $123.03 | $371.54 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $177.83 Typical High $630.96 | Facility | None | $158.49 | $177.83 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $165.96 | $3,090.30 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $467.74 Typical High $467.74 | Professional | 26 · Professional part | $56.23 | $467.74 | $467.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $107.15 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $199.53 Typical High $389.05 | Professional | None (both parts) | $165.96 | $199.53 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $93.33 | Professional | 26 · Professional part | $52.48 | $58.88 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $144.54 Typical High $331.13 | Professional | TC · Technical part | $107.15 | $144.54 | $331.13 |
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 $72.44 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $72.44 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $28.84 | $31.62 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $128.82 | $128.82 | $128.82 |
Where Arizona sits
The same service costs 4.4 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
$204
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.