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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $114.82 | $117.49 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $47.86 | Professional | 26 · Professional part | $30.90 | $35.48 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $125.89 | Professional | TC · Technical part | $83.18 | $83.18 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $131.83 | Professional | None (both parts) | $79.43 | $79.43 | $131.83 |
BCBS Arizona Setting Facility Modifier None Typical Low $60.26 Median $257.04 Typical High $389.05 | Facility | None | $60.26 | $257.04 | $389.05 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $186.21 | Professional | None (both parts) | $97.72 | $97.72 | $186.21 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $51.29 | Professional | 26 · Professional part | $26.92 | $26.92 | $51.29 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $134.90 | Professional | TC · Technical part | $70.79 | $70.79 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $331.13 Typical High $724.44 | Facility | None | $257.04 | $331.13 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $97.72 | $107.15 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $28.84 | $33.88 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $141.25 | Professional | TC · Technical part | $69.18 | $74.13 | $141.25 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $128.82 Typical High $436.52 | Facility | None | $109.65 | $128.82 | $436.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $120.23 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $120.23 | $758.58 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $35.48 | $338.84 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $83.18 | $537.03 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $114.82 | $120.23 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $54.95 | Professional | 26 · Professional part | $34.67 | $37.15 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $83.18 | $85.11 | $125.89 |
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 $56.23 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $56.23 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $22.91 | $23.44 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $95.50 | $95.50 | $95.50 |
Where Arizona sits
The same service costs 3.9 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· 38th of 51
$123
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.