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 None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $112.20 | Professional | None (both parts) | $97.72 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $34.67 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $72.44 | Professional | TC · Technical part | $58.88 | $58.88 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
BCBS Arizona Setting Facility Modifier None Typical Low $24.55 Median $57.54 Typical High $151.36 | Facility | None | $24.55 | $57.54 | $151.36 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $120.23 | Professional | None (both parts) | $77.62 | $77.62 | $120.23 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $44.67 | Professional | 26 · Professional part | $28.84 | $28.84 | $44.67 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $75.86 | Professional | TC · Technical part | $48.98 | $48.98 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $275.42 Typical High $331.13 | Facility | None | $229.09 | $275.42 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $138.04 | Professional | None (both parts) | $81.28 | $81.28 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $50.12 | Professional | 26 · Professional part | $31.62 | $31.62 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $89.13 | Professional | TC · Technical part | $48.98 | $48.98 | $89.13 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $144.54 Typical High $467.74 | Facility | None | $97.72 | $144.54 | $467.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $100.00 Median $147.91 Typical High $758.58 | Professional | None (both parts) | $100.00 | $147.91 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $51.29 Typical High $269.15 | Professional | 26 · Professional part | $33.88 | $51.29 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $97.72 Typical High $501.19 | Professional | TC · Technical part | $64.57 | $97.72 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $114.82 | Professional | None (both parts) | $97.72 | $107.15 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $38.02 | Professional | 26 · Professional part | $31.62 | $35.48 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $81.28 | Professional | TC · Technical part | $64.57 | $72.44 | $81.28 |
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 $48.98 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | FX · Film X-ray | $77.62 | $77.62 | $77.62 |
Where Arizona sits
The same service costs 4.5 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· 38th of 51
$102
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.