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 $562.34 Median $2,398.83 Typical High $3,801.89 | Facility | TC · Technical part | $562.34 | $2,398.83 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $426.58 Typical High $467.74 | Professional | None (both parts) | $416.87 | $426.58 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.90 Typical High $40.74 | Professional | 26 · Professional part | $38.02 | $38.90 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $426.58 | Professional | TC · Technical part | $380.19 | $380.19 | $426.58 |
BCBS Arizona Setting Facility Modifier None Typical Low $16.22 Median $38.02 Typical High $100.00 | Facility | None | $16.22 | $38.02 | $100.00 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $32.36 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $229.09 | Facility | None | $158.49 | $190.55 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $363.08 Typical High $660.69 | Professional | None (both parts) | $346.74 | $363.08 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $31.62 | $33.88 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $331.13 Typical High $588.84 | Professional | TC · Technical part | $309.03 | $331.13 | $588.84 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $645.65 Typical High $2,041.74 | Facility | None | $72.44 | $645.65 | $2,041.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $489.78 Median $562.34 Typical High $3,388.44 | Professional | None (both parts) | $489.78 | $562.34 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $602.56 | Professional | 26 · Professional part | $38.90 | $43.65 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $537.03 Typical High $3,090.30 | Professional | TC · Technical part | $457.09 | $537.03 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $467.74 Median $537.03 Typical High $676.08 | Professional | None (both parts) | $467.74 | $537.03 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $40.74 Typical High $54.95 | Professional | 26 · Professional part | $38.02 | $40.74 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $501.19 Typical High $630.96 | Professional | TC · Technical part | $436.52 | $501.19 | $630.96 |
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 $208.93 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $338.84 | $338.84 | $338.84 |
Where Arizona sits
The same service costs 16.6 times more in Wisconsin than in Oregon. 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· 40th of 51
$447
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.