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 $165.96 Median $707.95 Typical High $1,122.02 | Facility | None | $165.96 | $707.95 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $194.98 | Professional | None | $97.72 | $112.20 | $194.98 |
BCBS Arizona Setting Facility Modifier None Typical Low $91.20 Median $398.11 Typical High $588.84 | Facility | None | $91.20 | $398.11 | $588.84 |
BCBS Arizona Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $257.04 | Professional | None | $107.15 | $120.23 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $380.19 Typical High $457.09 | Facility | None | $309.03 | $380.19 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $181.97 | Professional | None | $89.13 | $107.15 | $181.97 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $123.03 Typical High $245.47 | Facility | None | $107.15 | $123.03 | $245.47 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $245.47 Typical High $660.69 | Professional | None | $114.82 | $245.47 | $660.69 |
United Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $218.78 | Professional | None | $107.15 | $128.82 | $218.78 |
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 $56.23 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | FX · Film X-ray | $89.13 | $89.13 | $89.13 |
Where Arizona sits
The same service costs 4.4 times more in Alaska than in New York. 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
$135
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.