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 $354.81 Median $812.83 Typical High $1,513.56 | Facility | None | $354.81 | $812.83 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $147.91 | Professional | None (both parts) | $134.90 | $134.90 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $67.61 | Professional | 26 · Professional part | $58.88 | $66.07 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $89.13 | Professional | TC · Technical part | $67.61 | $67.61 | $89.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $39.81 Median $95.50 Typical High $251.19 | Facility | None | $39.81 | $95.50 | $251.19 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $204.17 | Professional | None (both parts) | $91.20 | $100.00 | $204.17 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $45.71 Typical High $93.33 | Professional | 26 · Professional part | $42.66 | $45.71 | $93.33 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $53.70 Typical High $109.65 | Professional | TC · Technical part | $50.12 | $53.70 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $281.84 Typical High $338.84 | Facility | None | $234.42 | $281.84 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $95.50 | $100.00 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $87.10 | Professional | 26 · Professional part | $46.77 | $48.98 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $50.12 Typical High $107.15 | Professional | TC · Technical part | $47.86 | $50.12 | $107.15 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $269.15 Typical High $741.31 | Facility | None | $131.83 | $269.15 | $741.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $1,548.82 | Professional | None (both parts) | $123.03 | $158.49 | $1,548.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $691.83 | Professional | 26 · Professional part | $57.54 | $61.66 | $691.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $95.50 Typical High $1,230.27 | Professional | TC · Technical part | $64.57 | $95.50 | $1,230.27 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $181.97 | Professional | None (both parts) | $123.03 | $131.83 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $85.11 | Professional | 26 · Professional part | $54.95 | $60.26 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $75.86 Typical High $100.00 | Professional | TC · Technical part | $61.66 | $75.86 | $100.00 |
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 $67.61 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
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 5.6 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· 35th of 51
$135
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.