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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $102.33 | Professional | None (both parts) | $58.88 | $58.88 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $51.29 | Professional | 26 · Professional part | $36.31 | $36.31 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $50.12 | Professional | TC · Technical part | $21.88 | $21.88 | $50.12 |
BCBS Arizona Setting Facility Modifier None Typical Low $16.22 Median $70.79 Typical High $104.71 | Facility | None | $16.22 | $70.79 | $104.71 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $87.10 | Professional | None (both parts) | $46.77 | $46.77 | $87.10 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $51.29 | Professional | 26 · Professional part | $26.92 | $26.92 | $51.29 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $36.31 | Professional | TC · Technical part | $19.05 | $19.05 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $141.25 Typical High $331.13 | Facility | None | $79.43 | $141.25 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $81.28 Typical High $138.04 | Professional | None (both parts) | $47.86 | $81.28 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $43.65 Typical High $67.61 | Professional | 26 · Professional part | $29.51 | $43.65 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $30.90 Typical High $70.79 | Professional | TC · Technical part | $18.20 | $30.90 | $70.79 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $64.57 Typical High $151.36 | Facility | None | $58.88 | $64.57 | $151.36 |
Medica Setting Professional Modifier None (both parts) Typical Low $63.10 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $63.10 | $691.83 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $37.15 | $302.00 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $26.30 | $446.68 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $95.50 Typical High $120.23 | Professional | None (both parts) | $57.54 | $95.50 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $66.07 | Professional | 26 · Professional part | $35.48 | $48.98 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $45.71 Typical High $66.07 | Professional | TC · Technical part | $23.44 | $45.71 | $66.07 |
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 $29.51 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | FX · Film X-ray | $46.77 | $46.77 | $46.77 |
Where Arizona sits
The same service costs 3.8 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· 27th of 51
$89.13
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.