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 $107.15 Median $457.09 Typical High $724.44 | Facility | None | $107.15 | $457.09 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $128.82 | Professional | None | $66.07 | $72.44 | $128.82 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
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 Typical Low $70.79 Median $79.43 Typical High $165.96 | Professional | None | $70.79 | $79.43 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $275.42 Typical High $331.13 | Facility | None | $229.09 | $275.42 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $74.13 Typical High $128.82 | Professional | None | $58.88 | $74.13 | $128.82 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $81.28 Typical High $162.18 | Facility | None | $72.44 | $81.28 | $162.18 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $165.96 Typical High $1,412.54 | Professional | None | $85.11 | $165.96 | $1,412.54 |
United Setting Professional Modifier None Typical Low $74.13 Median $91.20 Typical High $144.54 | Professional | None | $74.13 | $91.20 | $144.54 |
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 $36.31 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | FX · Film X-ray | $58.88 | $58.88 | $58.88 |
Where Arizona sits
The same service costs 4.2 times more in Alaska than in New York. 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· 29th of 51
$91.20
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.