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 $190.55 Median $977.24 Typical High $1,737.80 | Facility | None | $190.55 | $977.24 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $389.05 | Professional | None | $173.78 | $173.78 | $389.05 |
Ambetter Setting Professional Modifier None Typical Low $223.87 Median $257.04 Typical High $331.13 | Professional | None | $223.87 | $257.04 | $331.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $269.15 Median $1,148.15 Typical High $1,737.80 | Facility | None | $269.15 | $1,148.15 | $1,737.80 |
BCBS Arizona Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $758.58 | Professional | None | $316.23 | $354.81 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $794.33 Typical High $1,548.82 | Facility | None | $616.60 | $794.33 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $302.00 | Professional | None | $147.91 | $177.83 | $302.00 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $1,230.27 | Facility | None | $158.49 | $190.55 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $436.52 Typical High $1,202.26 | Professional | None | $190.55 | $436.52 | $1,202.26 |
United Setting Professional Modifier None Typical Low $186.21 Median $245.47 Typical High $389.05 | Professional | None | $186.21 | $245.47 | $389.05 |
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 $87.10 Median $87.10 Typical High $97.72 | Professional | 52 · Reduced service | $87.10 | $87.10 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $38.90 | Professional | 53 · Discontinued | $34.67 | $34.67 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | FX · Film X-ray | $138.04 | $138.04 | $138.04 |
Where Arizona sits
The same service costs 4.3 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· 22nd of 51
$316
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.