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 $275.42 Median $407.38 Typical High $446.68 | Facility | None | $275.42 | $407.38 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $190.55 | $275.42 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $72.44 | Professional | 26 · Professional part | $32.36 | $38.90 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $234.42 Typical High $446.68 | Professional | TC · Technical part | $158.49 | $234.42 | $446.68 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $223.87 | $288.40 | $288.40 |
BCBS Arizona Setting Facility Modifier None Typical Low $199.53 Median $851.14 Typical High $1,288.25 | Facility | None | $199.53 | $851.14 | $1,288.25 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $269.15 Median $302.00 Typical High $645.65 | Professional | None (both parts) | $269.15 | $302.00 | $645.65 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $89.13 | Professional | 26 · Professional part | $37.15 | $42.66 | $89.13 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $263.03 Typical High $549.54 | Professional | TC · Technical part | $234.42 | $263.03 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $602.56 Typical High $1,318.26 | Facility | None | $309.03 | $602.56 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $229.09 Typical High $446.68 | Professional | None (both parts) | $181.97 | $229.09 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $31.62 | $38.02 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $190.55 Typical High $338.84 | Professional | TC · Technical part | $151.36 | $190.55 | $338.84 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $302.00 Typical High $645.65 | Facility | None | $251.19 | $302.00 | $645.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $234.42 Median $630.96 Typical High $2,398.83 | Professional | None (both parts) | $234.42 | $630.96 | $2,398.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $89.13 Typical High $724.44 | Professional | 26 · Professional part | $41.69 | $89.13 | $724.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $549.54 Typical High $1,659.59 | Professional | TC · Technical part | $190.55 | $549.54 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $331.13 Typical High $549.54 | Professional | None (both parts) | $229.09 | $331.13 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $38.90 | $45.71 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $181.97 | $281.84 | $478.63 |
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 $138.04 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $218.78 | $218.78 | $218.78 |
Where Arizona sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 20th of 51
$339
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.