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 $36.31 Median $154.88 Typical High $251.19 | Facility | TC · Technical part | $36.31 | $154.88 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $74.13 | Professional | None (both parts) | $47.86 | $47.86 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $29.51 | Professional | 26 · Professional part | $23.44 | $23.44 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $44.67 | Professional | TC · Technical part | $25.12 | $25.12 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
BCBS Arizona Setting Facility Modifier None Typical Low $18.62 Median $79.43 Typical High $120.23 | Facility | None | $18.62 | $79.43 | $120.23 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $74.13 | Professional | None (both parts) | $38.90 | $38.90 | $74.13 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $32.36 | Professional | 26 · Professional part | $17.38 | $17.38 | $32.36 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $40.74 | Professional | TC · Technical part | $21.88 | $21.88 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $144.54 Typical High $331.13 | Facility | None | $91.20 | $144.54 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $63.10 Typical High $104.71 | Professional | None (both parts) | $38.90 | $63.10 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.12 Typical High $40.74 | Professional | 26 · Professional part | $18.62 | $25.12 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $34.67 Typical High $57.54 | Professional | TC · Technical part | $20.42 | $34.67 | $57.54 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $53.70 Typical High $104.71 | Facility | None | $47.86 | $53.70 | $104.71 |
Medica Setting Professional Modifier None (both parts) Typical Low $48.98 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $48.98 | $501.19 | $501.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $23.44 | $323.59 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $25.70 | $323.59 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $67.61 Typical High $93.33 | Professional | None (both parts) | $47.86 | $67.61 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $39.81 | Professional | 26 · Professional part | $22.39 | $28.84 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $38.90 Typical High $51.29 | Professional | TC · Technical part | $25.12 | $38.90 | $51.29 |
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 $23.99 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | FX · Film X-ray | $38.90 | $38.90 | $38.90 |
Where Arizona sits
The same service costs 4.5 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· 29th of 51
$67.61
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.