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 $380.19 Median $1,621.81 Typical High $2,630.27 | Facility | TC · Technical part | $380.19 | $1,621.81 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $263.03 | $263.03 | $263.03 |
BCBS Setting Facility Modifier None Typical Low $218.78 Median $933.25 Typical High $1,412.54 | Facility | None | $218.78 | $933.25 | $1,412.54 |
BCBS Setting Professional Modifier None (both parts) Typical Low $562.34 Median $630.96 Typical High $1,348.96 | Professional | None (both parts) | $562.34 | $630.96 | $1,348.96 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $346.74 Typical High $724.44 | Professional | 26 · Professional part | $309.03 | $346.74 | $724.44 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $288.40 Typical High $616.60 | Professional | TC · Technical part | $257.04 | $288.40 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $812.83 Typical High $1,621.81 | Facility | None | $676.08 | $812.83 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $537.03 Typical High $933.25 | Professional | None (both parts) | $457.09 | $537.03 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $309.03 Typical High $537.03 | Professional | 26 · Professional part | $257.04 | $309.03 | $537.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $223.87 Typical High $407.38 | Professional | TC · Technical part | $181.97 | $223.87 | $407.38 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $630.96 Typical High $1,202.26 | Facility | None | $537.03 | $630.96 | $1,202.26 |
Medica Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,230.27 Typical High $3,388.44 | Professional | None (both parts) | $575.44 | $1,230.27 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $707.95 Typical High $2,344.23 | Professional | 26 · Professional part | $338.84 | $707.95 | $2,344.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $575.44 Typical High $1,862.09 | Professional | TC · Technical part | $229.09 | $575.44 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $549.54 Median $660.69 Typical High $1,122.02 | Professional | None (both parts) | $549.54 | $660.69 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $371.54 Typical High $616.60 | Professional | 26 · Professional part | $316.23 | $371.54 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $501.19 | Professional | TC · Technical part | $229.09 | $281.84 | $501.19 |
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 $288.40 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | FX · Film X-ray | $457.09 | $457.09 | $457.09 |
Where Arizona sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 23rd of 51
$676
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.