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 $131.83 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $131.83 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $61.66 | $67.61 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $69.18 | $74.13 | $74.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $52.48 Median $223.87 Typical High $338.84 | Facility | None | $52.48 | $223.87 | $338.84 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $213.80 | Professional | None (both parts) | $112.20 | $112.20 | $213.80 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $95.50 | Professional | 26 · Professional part | $48.98 | $48.98 | $95.50 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $117.49 | Professional | TC · Technical part | $61.66 | $61.66 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $512.86 Typical High $9,120.11 | Facility | None | $275.42 | $512.86 | $9,120.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $169.82 Typical High $446.68 | Professional | None (both parts) | $114.82 | $169.82 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $128.82 | Professional | 26 · Professional part | $54.95 | $67.61 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $346.74 | Professional | TC · Technical part | $60.26 | $93.33 | $346.74 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $154.88 Typical High $630.96 | Facility | None | $141.25 | $154.88 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $4,168.69 Typical High $4,168.69 | Professional | None (both parts) | $151.36 | $4,168.69 | $4,168.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $724.44 Typical High $724.44 | Professional | 26 · Professional part | $69.18 | $724.44 | $724.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $3,467.37 Typical High $3,467.37 | Professional | TC · Technical part | $83.18 | $3,467.37 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $380.19 | Professional | None (both parts) | $151.36 | $199.53 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $112.20 | Professional | 26 · Professional part | $63.10 | $69.18 | $112.20 |
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 $64.57 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $64.57 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $25.70 | $28.18 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | FX · Film X-ray | $114.82 | $114.82 | $114.82 |
Where Arizona sits
The same service costs 4.7 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· 29th of 51
$200
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.