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 $4,897.79 Median $20,892.96 Typical High $33,113.11 | Facility | TC · Technical part | $4,897.79 | $20,892.96 | $33,113.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $3,388.44 Typical High $3,388.44 | Professional | None (both parts) | $107.15 | $3,388.44 | $3,388.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $141.25 | Professional | 26 · Professional part | $74.13 | $93.33 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $3,311.31 Typical High $3,311.31 | Professional | TC · Technical part | $79.43 | $3,311.31 | $3,311.31 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
BCBS Arizona Setting Facility Modifier None Typical Low $120.23 Median $524.81 Typical High $776.25 | Facility | None | $120.23 | $524.81 | $776.25 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $223.87 | $223.87 | $426.58 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $154.88 | Professional | 26 · Professional part | $81.28 | $81.28 | $154.88 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $275.42 | Professional | TC · Technical part | $144.54 | $144.54 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $186.21 Typical High $8,511.38 | Facility | None | $141.25 | $186.21 | $8,511.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $251.19 | Professional | None (both parts) | $109.65 | $125.89 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $81.28 Typical High $165.96 | Professional | 26 · Professional part | $72.44 | $81.28 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $85.11 | Professional | TC · Technical part | $36.31 | $42.66 | $85.11 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $3,388.44 Typical High $4,786.30 | Facility | None | $131.83 | $3,388.44 | $4,786.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $120.23 Median $4,897.79 Typical High $4,897.79 | Professional | None (both parts) | $120.23 | $4,897.79 | $4,897.79 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $1,659.59 Typical High $1,659.59 | Professional | 26 · Professional part | $77.62 | $1,659.59 | $1,659.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $4,786.30 Typical High $4,786.30 | Professional | TC · Technical part | $41.69 | $4,786.30 | $4,786.30 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $776.25 Typical High $3,090.30 | Professional | None (both parts) | $114.82 | $776.25 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $74.13 | $91.20 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $741.31 Typical High $2,951.21 | Professional | TC · Technical part | $39.81 | $741.31 | $2,951.21 |
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 $1,202.26 Median $1,698.24 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,202.26 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $676.08 Typical High $676.08 | Professional | 53 · Discontinued | $478.63 | $676.08 | $676.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $2,238.72 Median $2,691.53 Typical High $2,691.53 | Professional | FX · Film X-ray | $2,238.72 | $2,691.53 | $2,691.53 |
Where Arizona sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 21st of 51
$537
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.