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 $69.18 Median $102.33 Typical High $218.78 | Facility | None | $69.18 | $102.33 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $70.79 Typical High $134.90 | Professional | None (both parts) | $67.61 | $70.79 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $63.10 | Professional | 26 · Professional part | $28.84 | $33.88 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.90 Typical High $67.61 | Professional | TC · Technical part | $34.67 | $38.90 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $56.23 Typical High $72.44 | Professional | None (both parts) | $48.98 | $56.23 | $72.44 |
BCBS Arizona Setting Facility Modifier None Typical Low $29.51 Median $125.89 Typical High $190.55 | Facility | None | $29.51 | $125.89 | $190.55 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $67.61 Median $75.86 Typical High $162.18 | Professional | None (both parts) | $67.61 | $75.86 | $162.18 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $37.15 | $79.43 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.90 Typical High $81.28 | Professional | TC · Technical part | $34.67 | $38.90 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $151.36 Typical High $380.19 | Facility | None | $89.13 | $151.36 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $75.86 Typical High $123.03 | Professional | None (both parts) | $54.95 | $75.86 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $27.54 | $33.88 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $42.66 Typical High $66.07 | Professional | TC · Technical part | $27.54 | $42.66 | $66.07 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $93.33 Typical High $457.09 | Facility | None | $69.18 | $93.33 | $457.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $81.28 Median $151.36 Typical High $467.74 | Professional | None (both parts) | $81.28 | $151.36 | $467.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $75.86 Typical High $380.19 | Professional | 26 · Professional part | $37.15 | $75.86 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $89.13 Typical High $380.19 | Professional | TC · Technical part | $42.66 | $89.13 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $85.11 Typical High $134.90 | Professional | None (both parts) | $70.79 | $85.11 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $66.07 | Professional | 26 · Professional part | $33.88 | $39.81 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $44.67 Typical High $69.18 | Professional | TC · Technical part | $37.15 | $44.67 | $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 $34.67 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | FX · Film X-ray | $54.95 | $54.95 | $54.95 |
Where Arizona sits
The same service costs 4.7 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· 25th of 51
$87.10
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.