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 $128.82 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $128.82 | $141.25 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $48.98 | $53.70 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $154.88 | Professional | TC · Technical part | $77.62 | $85.11 | $154.88 |
BCBS Arizona Setting Facility Modifier None Typical Low $60.26 Median $263.03 Typical High $389.05 | Facility | None | $60.26 | $263.03 | $389.05 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $213.80 | Professional | None (both parts) | $112.20 | $112.20 | $213.80 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $75.86 | Professional | 26 · Professional part | $39.81 | $39.81 | $75.86 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $138.04 | Professional | TC · Technical part | $70.79 | $70.79 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $549.54 Typical High $8,511.38 | Facility | None | $316.23 | $549.54 | $8,511.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $165.96 Typical High $446.68 | Professional | None (both parts) | $112.20 | $165.96 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $102.33 | Professional | 26 · Professional part | $44.67 | $54.95 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $104.71 Typical High $363.08 | Professional | TC · Technical part | $69.18 | $104.71 | $363.08 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $154.88 Typical High $630.96 | Facility | None | $141.25 | $154.88 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $147.91 | $3,090.30 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $54.95 | $537.03 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $91.20 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $199.53 Typical High $380.19 | Professional | None (both parts) | $147.91 | $199.53 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $91.20 | Professional | 26 · Professional part | $51.29 | $56.23 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $323.59 | Professional | TC · Technical part | $91.20 | $138.04 | $323.59 |
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 $100.00 Median $426.58 Typical High $691.83 | Facility | FX · Film X-ray | $100.00 | $426.58 | $691.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $63.10 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $25.70 | $28.18 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $112.20 | $112.20 | $112.20 |
Where Arizona sits
The same service costs 4.3 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
$200
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.