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 $151.36 Median $218.78 Typical High $1,412.54 | Facility | None | $151.36 | $218.78 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $302.00 | Professional | None (both parts) | $151.36 | $173.78 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $208.93 | Professional | 26 · Professional part | $95.50 | $112.20 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $48.98 Typical High $128.82 | Professional | TC · Technical part | $39.81 | $48.98 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $120.23 | $154.88 | $154.88 |
BCBS Arizona Setting Facility Modifier None Typical Low $33.11 Median $144.54 Typical High $213.80 | Facility | None | $33.11 | $144.54 | $213.80 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $346.74 | Professional | None (both parts) | $147.91 | $165.96 | $346.74 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $123.03 Typical High $257.04 | Professional | 26 · Professional part | $107.15 | $123.03 | $257.04 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $43.65 Typical High $93.33 | Professional | TC · Technical part | $38.90 | $43.65 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $354.81 Typical High $1,621.81 | Facility | None | $102.33 | $354.81 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $181.97 Typical High $416.87 | Professional | None (both parts) | $117.49 | $181.97 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $194.98 | Professional | 26 · Professional part | $89.13 | $109.65 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $40.74 Typical High $275.42 | Professional | TC · Technical part | $26.92 | $40.74 | $275.42 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $208.93 Typical High $1,548.82 | Facility | None | $151.36 | $208.93 | $1,548.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $446.68 Typical High $3,019.95 | Professional | None (both parts) | $169.82 | $446.68 | $3,019.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $251.19 Typical High $1,047.13 | Professional | 26 · Professional part | $125.89 | $251.19 | $1,047.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $416.87 Typical High $2,511.89 | Professional | TC · Technical part | $32.36 | $416.87 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $213.80 Typical High $446.68 | Professional | None (both parts) | $165.96 | $213.80 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $134.90 Typical High $218.78 | Professional | 26 · Professional part | $112.20 | $134.90 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $60.26 Typical High $323.59 | Professional | TC · Technical part | $30.90 | $60.26 | $323.59 |
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 $75.86 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $120.23 | $120.23 | $120.23 |
Where Arizona sits
The same service costs 5.1 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· 38th of 51
$195
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.