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 $144.54 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $144.54 | $158.49 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $70.79 | Professional | 26 · Professional part | $44.67 | $54.95 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $104.71 Typical High $165.96 | Professional | TC · Technical part | $100.00 | $104.71 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $43.65 | Professional | 26 · Professional part | $37.15 | $37.15 | $43.65 |
BCBS Arizona Setting Facility Modifier None Typical Low $83.18 Median $380.19 Typical High $575.44 | Facility | None | $83.18 | $380.19 | $575.44 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $288.40 | Professional | None (both parts) | $151.36 | $151.36 | $288.40 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $89.13 | Professional | 26 · Professional part | $45.71 | $45.71 | $89.13 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $204.17 | Professional | TC · Technical part | $104.71 | $104.71 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $288.40 Typical High $524.81 | Facility | None | $223.87 | $288.40 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $194.98 Typical High $407.38 | Professional | None (both parts) | $104.71 | $194.98 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $89.13 | Professional | 26 · Professional part | $31.62 | $44.67 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $125.89 Typical High $275.42 | Professional | TC · Technical part | $70.79 | $125.89 | $275.42 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $208.93 Typical High $2,511.89 | Facility | None | $151.36 | $208.93 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $125.89 | $1,047.13 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $40.74 | $288.40 | $288.40 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $776.25 Typical High $776.25 | Professional | TC · Technical part | $83.18 | $776.25 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $125.89 | $154.88 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $42.66 Typical High $83.18 | Professional | 26 · Professional part | $39.81 | $42.66 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $181.97 | Professional | TC · Technical part | $83.18 | $112.20 | $181.97 |
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 $74.13 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $74.13 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $29.51 | $32.36 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $128.82 | $128.82 | $128.82 |
Where Arizona sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 30th of 51
$174
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.