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 $147.91 Median $239.88 Typical High $295.12 | Facility | None | $147.91 | $239.88 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $204.17 | Professional | None (both parts) | $117.49 | $147.91 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.88 Typical High $48.98 | Professional | 26 · Professional part | $30.20 | $33.88 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $112.20 Typical High $154.88 | Professional | TC · Technical part | $87.10 | $112.20 | $154.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $81.28 | Professional | None (both parts) | $75.86 | $75.86 | $81.28 |
BCBS Arizona Setting Facility Modifier None Typical Low $64.57 Median $275.42 Typical High $416.87 | Facility | None | $64.57 | $275.42 | $416.87 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $190.55 | Professional | None (both parts) | $100.00 | $100.00 | $190.55 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $46.77 | Professional | 26 · Professional part | $24.55 | $24.55 | $46.77 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $144.54 | Professional | TC · Technical part | $75.86 | $75.86 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $426.58 Typical High $691.83 | Facility | None | $251.19 | $426.58 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $117.49 | $165.96 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $26.92 | $31.62 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $141.25 Typical High $234.42 | Professional | TC · Technical part | $85.11 | $141.25 | $234.42 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $162.18 Typical High $302.00 | Facility | None | $134.90 | $162.18 | $302.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $138.04 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $138.04 | $891.25 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $33.88 | $371.54 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $691.83 Typical High $691.83 | Professional | TC · Technical part | $102.33 | $691.83 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $95.50 | $147.91 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $54.95 | Professional | 26 · Professional part | $31.62 | $34.67 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $112.20 Typical High $186.21 | Professional | TC · Technical part | $61.66 | $112.20 | $186.21 |
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 $66.07 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $66.07 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $26.30 | $29.51 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $117.49 | $117.49 | $117.49 |
Where Arizona sits
The same service costs 4.9 times more in Wyoming 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· 26th of 51
$158
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.