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 $131.83 | Professional | None (both parts) | $120.23 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $51.29 | $56.23 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $69.18 | $75.86 | $75.86 |
BCBS Arizona Setting Facility Modifier None Typical Low $53.70 Median $229.09 Typical High $346.74 | Facility | None | $53.70 | $229.09 | $346.74 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $199.53 | Professional | None (both parts) | $104.71 | $104.71 | $199.53 |
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 $63.10 Median $63.10 Typical High $120.23 | Professional | TC · Technical part | $63.10 | $63.10 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $660.69 Typical High $1,778.28 | Facility | None | $281.84 | $660.69 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $165.96 Typical High $457.09 | Professional | None (both parts) | $109.65 | $165.96 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $45.71 | $56.23 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $371.54 | Professional | TC · Technical part | $63.10 | $97.72 | $371.54 |
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 $144.54 Median $3,548.13 Typical High $3,548.13 | Professional | None (both parts) | $144.54 | $3,548.13 | $3,548.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $616.60 Typical High $616.60 | Professional | 26 · Professional part | $56.23 | $616.60 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $3,019.95 Typical High $3,019.95 | Professional | TC · Technical part | $85.11 | $3,019.95 | $3,019.95 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $213.80 Typical High $389.05 | Professional | None (both parts) | $141.25 | $213.80 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $93.33 | Professional | 26 · Professional part | $53.70 | $58.88 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $131.83 Typical High $331.13 | Professional | TC · Technical part | $85.11 | $131.83 | $331.13 |
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 $89.13 Median $380.19 Typical High $616.60 | Facility | FX · Film X-ray | $89.13 | $380.19 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $60.26 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $23.99 | $26.30 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $107.15 | $107.15 | $107.15 |
Where Arizona sits
The same service costs 4.9 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
$191
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.