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 $100.00 Median $100.00 Typical High $186.21 | Professional | None (both parts) | $100.00 | $100.00 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $47.86 Typical High $58.88 | Professional | 26 · Professional part | $15.85 | $47.86 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $162.18 | Professional | TC · Technical part | $51.29 | $51.29 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
BCBS Arizona Setting Facility Modifier None Typical Low $37.15 Median $158.49 Typical High $239.88 | Facility | None | $37.15 | $158.49 | $239.88 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $151.36 | Professional | None (both parts) | $77.62 | $77.62 | $151.36 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $34.67 | $66.07 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $83.18 | Professional | TC · Technical part | $43.65 | $43.65 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $575.44 Typical High $707.95 | Facility | None | $478.63 | $575.44 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $109.65 Typical High $363.08 | Professional | None (both parts) | $81.28 | $109.65 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $38.90 Typical High $66.07 | Professional | 26 · Professional part | $17.38 | $38.90 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $70.79 Typical High $338.84 | Professional | TC · Technical part | $42.66 | $70.79 | $338.84 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $109.65 Typical High $1,778.28 | Facility | None | $100.00 | $109.65 | $1,778.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $2,884.03 Typical High $2,884.03 | Professional | None (both parts) | $109.65 | $2,884.03 | $2,884.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $426.58 Typical High $426.58 | Professional | 26 · Professional part | $17.78 | $426.58 | $426.58 |
Medica Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $60.26 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $131.83 Typical High $323.59 | Professional | None (both parts) | $91.20 | $131.83 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $25.70 Typical High $61.66 | Professional | 26 · Professional part | $16.98 | $25.70 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $97.72 Typical High $309.03 | Professional | TC · Technical part | $60.26 | $97.72 | $309.03 |
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 $60.26 Median $257.04 Typical High $416.87 | Facility | FX · Film X-ray | $60.26 | $257.04 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $44.67 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $17.78 | $19.95 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | FX · Film X-ray | $79.43 | $79.43 | $79.43 |
Where Arizona sits
The same service costs 4.0 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· 28th of 51
$132
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.