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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $109.65 Typical High $162.18 | Professional | None (both parts) | $85.11 | $109.65 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.92 Typical High $38.90 | Professional | 26 · Professional part | $24.55 | $26.92 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $120.23 | Professional | TC · Technical part | $61.66 | $83.18 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $102.33 Typical High $104.71 | Professional | None (both parts) | $77.62 | $102.33 | $104.71 |
BCBS Arizona Setting Facility Modifier None Typical Low $58.88 Median $251.19 Typical High $380.19 | Facility | None | $58.88 | $251.19 | $380.19 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $173.78 | Professional | None (both parts) | $91.20 | $91.20 | $173.78 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $42.66 | Professional | 26 · Professional part | $22.39 | $22.39 | $42.66 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $128.82 | Professional | TC · Technical part | $69.18 | $69.18 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $331.13 Typical High $645.65 | Facility | None | $251.19 | $331.13 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $89.13 | $97.72 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $44.67 | Professional | 26 · Professional part | $21.88 | $28.18 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $66.07 | $69.18 | $123.03 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $120.23 Typical High $229.09 | Facility | None | $109.65 | $120.23 | $229.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $112.20 | $691.83 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $28.18 | $165.96 | $165.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $524.81 Typical High $524.81 | Professional | TC · Technical part | $83.18 | $524.81 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $102.33 | $114.82 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $44.67 | Professional | 26 · Professional part | $25.70 | $28.18 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $125.89 | Professional | TC · Technical part | $79.43 | $87.10 | $125.89 |
2 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 FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | FX · Film X-ray | $89.13 | $89.13 | $89.13 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $67.61 Median $67.61 Typical High $77.62 | Professional | 59 · Distinct service | $67.61 | $67.61 | $77.62 |
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· 29th of 51
$115
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.