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 $501.19 Median $741.31 Typical High $3,388.44 | Facility | None | $501.19 | $741.31 | $3,388.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $549.54 Typical High $977.24 | Professional | None (both parts) | $501.19 | $549.54 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $234.42 Typical High $436.52 | Professional | 26 · Professional part | $208.93 | $234.42 | $436.52 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $309.03 Typical High $562.34 | Professional | TC · Technical part | $263.03 | $309.03 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $398.11 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $398.11 | $524.81 | $524.81 |
BCBS Arizona Setting Facility Modifier None Typical Low $223.87 Median $954.99 Typical High $1,445.44 | Facility | None | $223.87 | $954.99 | $1,445.44 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $489.78 Median $549.54 Typical High $1,174.90 | Professional | None (both parts) | $489.78 | $549.54 | $1,174.90 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $257.04 Typical High $549.54 | Professional | 26 · Professional part | $229.09 | $257.04 | $549.54 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $295.12 Typical High $616.60 | Professional | TC · Technical part | $263.03 | $295.12 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,380.38 Typical High $3,801.89 | Facility | None | $676.08 | $1,380.38 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $630.96 Typical High $1,071.52 | Professional | None (both parts) | $398.11 | $630.96 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $239.88 Typical High $416.87 | Professional | 26 · Professional part | $190.55 | $239.88 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $331.13 Typical High $776.25 | Professional | TC · Technical part | $208.93 | $331.13 | $776.25 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $549.54 Typical High $3,801.89 | Facility | None | $501.19 | $549.54 | $3,801.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,348.96 Typical High $7,413.10 | Professional | None (both parts) | $602.56 | $1,348.96 | $7,413.10 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $524.81 Typical High $1,698.24 | Professional | 26 · Professional part | $269.15 | $524.81 | $1,698.24 |
Medica Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $1,047.13 Typical High $6,165.95 | Professional | TC · Technical part | $316.23 | $1,047.13 | $6,165.95 |
United Setting Professional Modifier None (both parts) Typical Low $524.81 Median $630.96 Typical High $1,148.15 | Professional | None (both parts) | $524.81 | $630.96 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $281.84 Typical High $457.09 | Professional | 26 · Professional part | $234.42 | $281.84 | $457.09 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $346.74 Typical High $870.96 | Professional | TC · Technical part | $275.42 | $346.74 | $870.96 |
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 $251.19 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | FX · Film X-ray | $398.11 | $398.11 | $398.11 |
Where Arizona sits
The same service costs 4.9 times more in Alaska than in Florida. 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· 27th of 51
$692
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.