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 $1,905.46 Median $2,951.21 Typical High $3,890.45 | Facility | None | $1,905.46 | $2,951.21 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,089.30 Typical High $3,715.35 | Professional | None (both parts) | $1,905.46 | $2,089.30 | $3,715.35 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $436.52 Typical High $812.83 | Professional | 26 · Professional part | $371.54 | $436.52 | $812.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,659.59 Typical High $2,951.21 | Professional | TC · Technical part | $1,445.44 | $1,659.59 | $2,951.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $2,089.30 Typical High $2,089.30 | Professional | None (both parts) | $1,621.81 | $2,089.30 | $2,089.30 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,318.26 Median $5,623.41 Typical High $8,511.38 | Facility | None | $1,318.26 | $5,623.41 | $8,511.38 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $2,238.72 Typical High $4,677.35 | Professional | None (both parts) | $1,995.26 | $2,238.72 | $4,677.35 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $478.63 Typical High $1,023.29 | Professional | 26 · Professional part | $426.58 | $478.63 | $1,023.29 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $1,737.80 Typical High $3,715.35 | Professional | TC · Technical part | $1,548.82 | $1,737.80 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $4,168.69 Typical High $8,128.31 | Facility | None | $3,162.28 | $4,168.69 | $8,128.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $2,041.74 Typical High $3,388.44 | Professional | None (both parts) | $1,513.56 | $2,041.74 | $3,388.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $436.52 Typical High $741.31 | Professional | 26 · Professional part | $354.81 | $436.52 | $741.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,584.89 Typical High $2,691.53 | Professional | TC · Technical part | $1,174.90 | $1,584.89 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $2,089.30 Typical High $3,981.07 | Facility | None | $1,737.80 | $2,089.30 | $3,981.07 |
Medica Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $11,748.98 Typical High $13,489.63 | Professional | None (both parts) | $2,344.23 | $11,748.98 | $13,489.63 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $2,630.27 Typical High $2,818.38 | Professional | 26 · Professional part | $478.63 | $2,630.27 | $2,818.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,819.70 Median $3,235.94 Typical High $8,912.51 | Professional | TC · Technical part | $1,819.70 | $3,235.94 | $8,912.51 |
United Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,454.71 Typical High $3,801.89 | Professional | None (both parts) | $1,949.84 | $2,454.71 | $3,801.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $524.81 Typical High $851.14 | Professional | 26 · Professional part | $436.52 | $524.81 | $851.14 |
United Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $1,949.84 Typical High $2,951.21 | Professional | TC · Technical part | $1,548.82 | $1,949.84 | $2,951.21 |
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 $954.99 Median $954.99 Typical High $977.24 | Professional | 52 · Reduced service | $954.99 | $954.99 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $389.05 | Professional | 53 · Discontinued | $380.19 | $380.19 | $389.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | FX · Film X-ray | $1,513.56 | $1,513.56 | $1,513.56 |
Where Arizona sits
The same service costs 4.4 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· 19th of 51
$2,512
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.