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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $83.18 Typical High $85.11 | Professional | None (both parts) | $38.90 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $33.11 Typical High $35.48 | Professional | 26 · Professional part | $19.05 | $33.11 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $50.12 Typical High $51.29 | Professional | TC · Technical part | $20.42 | $50.12 | $51.29 |
BCBS Arizona Setting Facility Modifier None Typical Low $34.67 Median $81.28 Typical High $213.80 | Facility | None | $34.67 | $81.28 | $213.80 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $67.61 Median $72.44 Typical High $151.36 | Professional | None (both parts) | $67.61 | $72.44 | $151.36 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.92 Typical High $54.95 | Professional | 26 · Professional part | $25.12 | $26.92 | $54.95 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $46.77 Typical High $95.50 | Professional | TC · Technical part | $42.66 | $46.77 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $79.43 Typical High $95.50 | Facility | None | $66.07 | $79.43 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $67.61 Typical High $114.82 | Professional | None (both parts) | $54.95 | $67.61 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $26.92 Typical High $45.71 | Professional | 26 · Professional part | $17.38 | $26.92 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $40.74 Typical High $69.18 | Professional | TC · Technical part | $36.31 | $40.74 | $69.18 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $154.88 Typical High $363.08 | Facility | None | $83.18 | $154.88 | $363.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $36.31 Median $81.28 Typical High $891.25 | Professional | None (both parts) | $36.31 | $81.28 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $35.48 Typical High $251.19 | Professional | 26 · Professional part | $19.50 | $35.48 | $251.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $50.12 Typical High $724.44 | Professional | TC · Technical part | $19.50 | $50.12 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $77.62 Typical High $112.20 | Professional | None (both parts) | $36.31 | $77.62 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $33.88 Typical High $47.86 | Professional | 26 · Professional part | $19.05 | $33.88 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $43.65 Typical High $69.18 | Professional | TC · Technical part | $16.60 | $43.65 | $69.18 |
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 $41.69 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | FX · Film X-ray | $66.07 | $66.07 | $66.07 |
Where Arizona sits
The same service costs 5.9 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· 34th of 51
$77.62
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.