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 $120.23 Median $131.83 Typical High $213.80 | Professional | None (both parts) | $120.23 | $131.83 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $54.95 Typical High $58.88 | Professional | 26 · Professional part | $50.12 | $54.95 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $75.86 Typical High $162.18 | Professional | TC · Technical part | $69.18 | $75.86 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
BCBS Arizona Setting Facility Modifier None Typical Low $54.95 Median $239.88 Typical High $354.81 | Facility | None | $54.95 | $239.88 | $354.81 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $204.17 | Professional | None (both parts) | $107.15 | $107.15 | $204.17 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $41.69 | $79.43 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $125.89 | Professional | TC · Technical part | $66.07 | $66.07 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $524.81 Typical High $9,120.11 | Facility | None | $275.42 | $524.81 | $9,120.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $154.88 Typical High $426.58 | Professional | None (both parts) | $104.71 | $154.88 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $104.71 | Professional | 26 · Professional part | $44.67 | $54.95 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $95.50 Typical High $354.81 | Professional | TC · Technical part | $60.26 | $95.50 | $354.81 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $144.54 Typical High $616.60 | Facility | None | $131.83 | $144.54 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $141.25 | $3,090.30 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $56.23 | $537.03 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $83.18 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $371.54 | Professional | None (both parts) | $141.25 | $186.21 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $91.20 | Professional | 26 · Professional part | $52.48 | $57.54 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $123.03 Typical High $316.23 | Professional | TC · Technical part | $83.18 | $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 $87.10 Median $371.54 Typical High $602.56 | Facility | FX · Film X-ray | $87.10 | $371.54 | $602.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $58.88 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $23.44 | $26.30 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $104.71 | $104.71 | $104.71 |
Where Arizona sits
The same service costs 4.1 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· 32nd 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.