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 $60.26 Median $93.33 Typical High $204.17 | Facility | None | $60.26 | $93.33 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $109.65 | Professional | None (both parts) | $60.26 | $60.26 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.18 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $28.18 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $69.18 | Professional | TC · Technical part | $31.62 | $31.62 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
BCBS Arizona Setting Facility Modifier None Typical Low $24.55 Median $104.71 Typical High $158.49 | Facility | None | $24.55 | $104.71 | $158.49 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $95.50 | Professional | None (both parts) | $50.12 | $50.12 | $95.50 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $40.74 | Professional | 26 · Professional part | $21.38 | $21.38 | $40.74 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $53.70 | Professional | TC · Technical part | $28.84 | $28.84 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $186.21 Typical High $331.13 | Facility | None | $117.49 | $186.21 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $79.43 Typical High $125.89 | Professional | None (both parts) | $47.86 | $79.43 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.70 Typical High $47.86 | Professional | 26 · Professional part | $23.44 | $25.70 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $48.98 Typical High $77.62 | Professional | TC · Technical part | $24.55 | $48.98 | $77.62 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $66.07 Typical High $257.04 | Facility | None | $60.26 | $66.07 | $257.04 |
Medica Setting Professional Modifier None (both parts) Typical Low $81.28 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $81.28 | $446.68 | $446.68 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $26.92 | $263.03 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $51.29 | $398.11 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $89.13 Typical High $117.49 | Professional | None (both parts) | $66.07 | $89.13 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $26.30 | $28.84 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $57.54 Typical High $72.44 | Professional | TC · Technical part | $42.66 | $57.54 | $72.44 |
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 $30.20 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | FX · Film X-ray | $47.86 | $47.86 | $47.86 |
Where Arizona sits
The same service costs 4.1 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· 28th of 51
$85.11
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.