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 $165.96 Median $707.95 Typical High $1,122.02 | Facility | None | $165.96 | $707.95 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $112.20 Typical High $173.78 | Professional | None | $104.71 | $112.20 | $173.78 |
BCBS Arizona Setting Facility Modifier None Typical Low $91.20 Median $398.11 Typical High $588.84 | Facility | None | $91.20 | $398.11 | $588.84 |
BCBS Arizona Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $257.04 | Professional | None | $107.15 | $123.03 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $416.87 Typical High $501.19 | Facility | None | $346.74 | $416.87 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $199.53 | Professional | None | $91.20 | $114.82 | $199.53 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $123.03 Typical High $251.19 | Facility | None | $112.20 | $123.03 | $251.19 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $251.19 Typical High $1,862.09 | Professional | None | $128.82 | $251.19 | $1,862.09 |
United Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $218.78 | Professional | None | $112.20 | $138.04 | $218.78 |
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 $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | FX · Film X-ray | $91.20 | $91.20 | $91.20 |
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· 28th of 51
$138
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.