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 TC · Technical part Typical Low $331.13 Median $1,412.54 Typical High $2,290.87 | Facility | TC · Technical part | $331.13 | $1,412.54 | $2,290.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $229.09 | $229.09 | $229.09 |
BCBS Arizona Setting Facility Modifier None Typical Low $190.55 Median $812.83 Typical High $1,230.27 | Facility | None | $190.55 | $812.83 | $1,230.27 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $426.58 Median $478.63 Typical High $1,023.29 | Professional | None (both parts) | $426.58 | $478.63 | $1,023.29 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $229.09 Typical High $489.78 | Professional | 26 · Professional part | $204.17 | $229.09 | $489.78 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $251.19 Typical High $524.81 | Professional | TC · Technical part | $223.87 | $251.19 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $691.83 Typical High $1,621.81 | Facility | None | $588.84 | $691.83 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $389.05 Typical High $707.95 | Professional | None (both parts) | $323.59 | $389.05 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $204.17 Typical High $354.81 | Professional | 26 · Professional part | $169.82 | $204.17 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $181.97 Typical High $354.81 | Professional | TC · Technical part | $144.54 | $181.97 | $354.81 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $478.63 Typical High $912.01 | Facility | None | $407.38 | $478.63 | $912.01 |
Medica Setting Professional Modifier None (both parts) Typical Low $407.38 Median $912.01 Typical High $3,162.28 | Professional | None (both parts) | $407.38 | $912.01 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $467.74 Typical High $1,584.89 | Professional | 26 · Professional part | $223.87 | $467.74 | $1,584.89 |
Medica Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $501.19 Typical High $1,348.96 | Professional | TC · Technical part | $186.21 | $501.19 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $489.78 Typical High $870.96 | Professional | None (both parts) | $407.38 | $489.78 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $251.19 Typical High $407.38 | Professional | 26 · Professional part | $208.93 | $251.19 | $407.38 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $436.52 | Professional | TC · Technical part | $186.21 | $245.47 | $436.52 |
4 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 $218.78 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | FX · Film X-ray | $354.81 | $354.81 | $354.81 |
Where Arizona sits
The same service costs 5.6 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
$513
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.