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 $52.48 Median $52.48 Typical High $89.13 | Facility | None | $52.48 | $52.48 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $45.71 Typical High $75.86 | Professional | None (both parts) | $41.69 | $45.71 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $24.55 Typical High $38.02 | Professional | 26 · Professional part | $21.38 | $24.55 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $21.38 Typical High $37.15 | Professional | TC · Technical part | $20.42 | $21.38 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.84 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $28.84 | $64.57 | $64.57 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
BCBS Arizona Setting Facility Modifier None Typical Low $15.49 Median $66.07 Typical High $100.00 | Facility | None | $15.49 | $66.07 | $100.00 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $69.18 | Professional | None (both parts) | $37.15 | $37.15 | $69.18 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $35.48 | Professional | 26 · Professional part | $18.62 | $18.62 | $35.48 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $33.88 | Professional | TC · Technical part | $18.20 | $18.20 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $89.13 Typical High $331.13 | Facility | None | $74.13 | $89.13 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $52.48 Typical High $91.20 | Professional | None (both parts) | $38.02 | $52.48 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.91 Typical High $40.74 | Professional | 26 · Professional part | $19.95 | $22.91 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $24.55 Typical High $52.48 | Professional | TC · Technical part | $17.78 | $24.55 | $52.48 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $50.12 Typical High $102.33 | Facility | None | $45.71 | $50.12 | $102.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $46.77 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $46.77 | $501.19 | $501.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $24.55 | $151.36 | $151.36 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $21.88 | $371.54 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $47.86 Typical High $81.28 | Professional | None (both parts) | $44.67 | $47.86 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.70 Typical High $38.90 | Professional | 26 · Professional part | $23.99 | $25.70 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $21.88 Typical High $46.77 | Professional | TC · Technical part | $19.95 | $21.88 | $46.77 |
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 $36.31 Median $36.31 Typical High $36.31 | Professional | FX · Film X-ray | $36.31 | $36.31 | $36.31 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $28.84 Median $28.84 Typical High $33.11 | Professional | 59 · Distinct service | $28.84 | $28.84 | $33.11 |
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· 39th of 51
$50.12
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.