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 Professional Modifier None (both parts) Typical Low $194.98 Median $263.03 Typical High $363.08 | Professional | None (both parts) | $194.98 | $263.03 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $114.82 | Professional | 26 · Professional part | $70.79 | $81.28 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $181.97 Typical High $263.03 | Professional | TC · Technical part | $125.89 | $181.97 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $354.81 | Professional | None (both parts) | $190.55 | $190.55 | $354.81 |
BCBS Setting Facility Modifier None Typical Low $134.90 Median $575.44 Typical High $870.96 | Facility | None | $134.90 | $575.44 | $870.96 |
BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $407.38 | Professional | None (both parts) | $218.78 | $218.78 | $407.38 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $114.82 | Professional | 26 · Professional part | $61.66 | $61.66 | $114.82 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $295.12 | Professional | TC · Technical part | $158.49 | $158.49 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $1,548.82 | Facility | None | $467.74 | $741.31 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $426.58 | Professional | None (both parts) | $181.97 | $218.78 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $66.07 | $75.86 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $154.88 Typical High $288.40 | Professional | TC · Technical part | $107.15 | $154.88 | $288.40 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $288.40 Typical High $1,148.15 | Facility | None | $245.47 | $288.40 | $1,148.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $213.80 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $213.80 | $1,698.24 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $501.19 Typical High $501.19 | Professional | 26 · Professional part | $81.28 | $501.19 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $138.04 | $1,202.26 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $208.93 | $275.42 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $83.18 Typical High $128.82 | Professional | 26 · Professional part | $79.43 | $83.18 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $194.98 Typical High $275.42 | Professional | TC · Technical part | $125.89 | $194.98 | $275.42 |
4 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 Facility Modifier FX · Film X-ray Typical Low $213.80 Median $912.01 Typical High $1,479.11 | Facility | FX · Film X-ray | $213.80 | $912.01 | $1,479.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $120.23 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $48.98 | $52.48 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | FX · Film X-ray | $213.80 | $213.80 | $213.80 |
Where Arizona sits
The same service costs 5.0 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· 30th of 51
$275
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.