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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $120.23 | $120.23 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $54.95 Typical High $69.18 | Professional | 26 · Professional part | $47.86 | $54.95 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $162.18 | Professional | TC · Technical part | $66.07 | $66.07 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
BCBS Arizona Setting Facility Modifier None Typical Low $48.98 Median $208.93 Typical High $316.23 | Facility | None | $48.98 | $208.93 | $316.23 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $186.21 | Professional | None (both parts) | $97.72 | $97.72 | $186.21 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $77.62 | Professional | 26 · Professional part | $40.74 | $40.74 | $77.62 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $109.65 | Professional | TC · Technical part | $57.54 | $57.54 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $512.86 Typical High $4,168.69 | Facility | None | $245.47 | $512.86 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $151.36 Typical High $416.87 | Professional | None (both parts) | $100.00 | $151.36 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $104.71 | Professional | 26 · Professional part | $44.67 | $53.70 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $89.13 Typical High $354.81 | Professional | TC · Technical part | $54.95 | $89.13 | $354.81 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $134.90 Typical High $630.96 | Facility | None | $120.23 | $134.90 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $131.83 Median $3,388.44 Typical High $3,388.44 | Professional | None (both parts) | $131.83 | $3,388.44 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $53.70 | $630.96 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $2,884.03 Typical High $2,884.03 | Professional | TC · Technical part | $75.86 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $363.08 | Professional | None (both parts) | $131.83 | $186.21 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $91.20 | Professional | 26 · Professional part | $51.29 | $57.54 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $117.49 Typical High $316.23 | Professional | TC · Technical part | $75.86 | $117.49 | $316.23 |
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 $54.95 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $54.95 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $21.88 | $24.55 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $97.72 | $97.72 | $97.72 |
Where Arizona sits
The same service costs 4.8 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· 26th of 51
$186
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.