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 $125.89 Median $134.90 Typical High $194.98 | Professional | None (both parts) | $125.89 | $134.90 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $66.07 | Professional | 26 · Professional part | $57.54 | $61.66 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $109.65 | Professional | TC · Technical part | $69.18 | $72.44 | $109.65 |
BCBS Arizona Setting Facility Modifier None Typical Low $50.12 Median $218.78 Typical High $323.59 | Facility | None | $50.12 | $218.78 | $323.59 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $204.17 | Professional | None (both parts) | $104.71 | $104.71 | $204.17 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $87.10 | Professional | 26 · Professional part | $45.71 | $45.71 | $87.10 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $114.82 | Professional | TC · Technical part | $60.26 | $60.26 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $512.86 Typical High $9,120.11 | Facility | None | $263.03 | $512.86 | $9,120.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $162.18 Typical High $436.52 | Professional | None (both parts) | $109.65 | $162.18 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $117.49 | Professional | 26 · Professional part | $51.29 | $63.10 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $93.33 Typical High $354.81 | Professional | TC · Technical part | $58.88 | $93.33 | $354.81 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $147.91 Typical High $645.65 | Facility | None | $134.90 | $147.91 | $645.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $144.54 | $3,162.28 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $63.10 | $630.96 | $630.96 |
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 $144.54 Median $190.55 Typical High $380.19 | Professional | None (both parts) | $144.54 | $190.55 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $58.88 | $64.57 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $123.03 Typical High $316.23 | Professional | TC · Technical part | $81.28 | $123.03 | $316.23 |
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 $85.11 Median $363.08 Typical High $575.44 | Facility | FX · Film X-ray | $85.11 | $363.08 | $575.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $61.66 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $24.55 | $26.92 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $107.15 | $107.15 | $107.15 |
Where Arizona sits
The same service costs 5.4 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· 31st of 51
$191
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.