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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $162.18 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $56.23 | $63.10 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $104.71 | $114.82 | $114.82 |
BCBS Arizona Setting Facility Modifier None Typical Low $85.11 Median $363.08 Typical High $549.54 | Facility | None | $85.11 | $363.08 | $549.54 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $281.84 | Professional | None (both parts) | $144.54 | $144.54 | $281.84 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $89.13 | Professional | 26 · Professional part | $46.77 | $46.77 | $89.13 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $190.55 | Professional | TC · Technical part | $100.00 | $100.00 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $676.08 Typical High $9,120.11 | Facility | None | $426.58 | $676.08 | $9,120.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $204.17 Typical High $512.86 | Professional | None (both parts) | $141.25 | $204.17 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $120.23 | Professional | 26 · Professional part | $51.29 | $63.10 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $131.83 Typical High $398.11 | Professional | TC · Technical part | $91.20 | $131.83 | $398.11 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $194.98 Typical High $645.65 | Facility | None | $177.83 | $194.98 | $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 $64.57 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $64.57 | $676.08 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $114.82 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $416.87 | Professional | None (both parts) | $177.83 | $239.88 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $61.66 | $64.57 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $177.83 Typical High $354.81 | Professional | TC · Technical part | $114.82 | $177.83 | $354.81 |
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 $79.43 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $79.43 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $32.36 | $35.48 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | FX · Film X-ray | $144.54 | $144.54 | $144.54 |
Where Arizona sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 32nd of 51
$240
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.