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 $87.10 Median $371.54 Typical High $602.56 | Facility | TC · Technical part | $87.10 | $371.54 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $181.97 | Professional | None (both parts) | $109.65 | $109.65 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $30.20 | $50.12 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $120.23 | Professional | TC · Technical part | $60.26 | $60.26 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $72.44 | $77.62 | $77.62 |
BCBS Arizona Setting Facility Modifier None Typical Low $42.66 Median $186.21 Typical High $275.42 | Facility | None | $42.66 | $186.21 | $275.42 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $169.82 | Professional | None (both parts) | $87.10 | $87.10 | $169.82 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $37.15 | $70.79 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $97.72 | Professional | TC · Technical part | $51.29 | $51.29 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $309.03 Typical High $4,168.69 | Facility | None | $218.78 | $309.03 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $104.71 Typical High $204.17 | Professional | None (both parts) | $87.10 | $104.71 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $32.36 | $41.69 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $66.07 Typical High $134.90 | Professional | TC · Technical part | $47.86 | $66.07 | $134.90 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $707.95 | Facility | None | $100.00 | $120.23 | $707.95 |
Medica Setting Professional Modifier None (both parts) Typical Low $107.15 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $107.15 | $794.33 | $794.33 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $34.67 | $309.03 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $524.81 Typical High $524.81 | Professional | TC · Technical part | $72.44 | $524.81 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $181.97 | Professional | None (both parts) | $100.00 | $109.65 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $33.11 | $35.48 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $74.13 Typical High $120.23 | Professional | TC · Technical part | $66.07 | $74.13 | $120.23 |
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 $50.12 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $50.12 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $19.95 | $21.88 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | FX · Film X-ray | $87.10 | $87.10 | $87.10 |
Where Arizona sits
The same service costs 4.2 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
$117
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.