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 $158.49 Median $676.08 Typical High $1,071.52 | Facility | TC · Technical part | $158.49 | $676.08 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $169.82 Typical High $213.80 | Professional | None (both parts) | $151.36 | $169.82 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $52.48 | $61.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $107.15 Typical High $158.49 | Professional | TC · Technical part | $95.50 | $107.15 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
BCBS Arizona Setting Facility Modifier None Typical Low $89.13 Median $380.19 Typical High $575.44 | Facility | None | $89.13 | $380.19 | $575.44 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $295.12 | Professional | None (both parts) | $151.36 | $151.36 | $295.12 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $91.20 | Professional | 26 · Professional part | $47.86 | $47.86 | $91.20 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $104.71 | $104.71 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $630.96 Typical High $8,511.38 | Facility | None | $389.05 | $630.96 | $8,511.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $467.74 | Professional | None (both parts) | $131.83 | $177.83 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $54.95 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $54.95 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $354.81 | Professional | TC · Technical part | $81.28 | $112.20 | $354.81 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $186.21 Typical High $630.96 | Facility | None | $169.82 | $186.21 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $186.21 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $186.21 | $3,090.30 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $489.78 Typical High $489.78 | Professional | 26 · Professional part | $54.95 | $489.78 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $120.23 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $154.88 | $204.17 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $52.48 | $61.66 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $128.82 Typical High $316.23 | Professional | TC · Technical part | $97.72 | $128.82 | $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 $75.86 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $75.86 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $30.90 | $33.88 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $134.90 Typical High $134.90 | Professional | FX · Film X-ray | $131.83 | $134.90 | $134.90 |
Where Arizona sits
The same service costs 3.8 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· 31st of 51
$219
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.