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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $89.13 Typical High $131.83 | Professional | None (both parts) | $87.10 | $89.13 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $63.10 | Professional | 26 · Professional part | $41.69 | $47.86 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $69.18 | Professional | TC · Technical part | $41.69 | $41.69 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
BCBS Arizona Setting Facility Modifier None Typical Low $30.20 Median $128.82 Typical High $194.98 | Facility | None | $30.20 | $128.82 | $194.98 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $134.90 | Professional | None (both parts) | $72.44 | $72.44 | $134.90 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $36.31 | $69.18 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $67.61 | Professional | TC · Technical part | $35.48 | $35.48 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $173.78 Typical High $208.93 | Facility | None | $144.54 | $173.78 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $158.49 | Professional | None (both parts) | $74.13 | $93.33 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $83.18 | Professional | 26 · Professional part | $39.81 | $44.67 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $46.77 Typical High $77.62 | Professional | TC · Technical part | $34.67 | $46.77 | $77.62 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $97.72 Typical High $309.03 | Facility | None | $89.13 | $97.72 | $309.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $93.33 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $93.33 | $1,288.25 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $501.19 Typical High $501.19 | Professional | 26 · Professional part | $47.86 | $501.19 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $42.66 | $794.33 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $97.72 Typical High $162.18 | Professional | None (both parts) | $89.13 | $97.72 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $46.77 | $50.12 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $46.77 Typical High $72.44 | Professional | TC · Technical part | $42.66 | $46.77 | $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 $43.65 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $43.65 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $17.38 | $17.78 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | FX · Film X-ray | $72.44 | $72.44 | $72.44 |
Where Arizona sits
The same service costs 4.2 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· 35th of 51
$97.72
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.