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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $954.99 Typical High $1,778.28 | Professional | None (both parts) | $851.14 | $954.99 | $1,778.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $478.63 Typical High $891.25 | Professional | 26 · Professional part | $478.63 | $478.63 | $891.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $478.63 Typical High $891.25 | Professional | TC · Technical part | $288.40 | $478.63 | $891.25 |
BCBS Arizona Setting Facility Modifier None Typical Low $407.38 Median $1,737.80 Typical High $2,630.27 | Facility | None | $407.38 | $1,737.80 | $2,630.27 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,071.52 Typical High $2,238.72 | Professional | None (both parts) | $933.25 | $1,071.52 | $2,238.72 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $524.81 Typical High $1,122.02 | Professional | 26 · Professional part | $467.74 | $524.81 | $1,122.02 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $537.03 Typical High $1,122.02 | Professional | TC · Technical part | $478.63 | $537.03 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,380.38 Typical High $2,691.53 | Facility | None | $977.24 | $1,380.38 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $912.01 Typical High $1,548.82 | Professional | None (both parts) | $758.58 | $912.01 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $537.03 Typical High $891.25 | Professional | 26 · Professional part | $389.05 | $537.03 | $891.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $380.19 Typical High $676.08 | Professional | TC · Technical part | $245.47 | $380.19 | $676.08 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $1,047.13 Typical High $6,760.83 | Facility | None | $891.25 | $1,047.13 | $6,760.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,995.26 Typical High $6,309.57 | Professional | None (both parts) | $977.24 | $1,995.26 | $6,309.57 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $1,071.52 Typical High $5,011.87 | Professional | 26 · Professional part | $575.44 | $1,071.52 | $5,011.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $1,071.52 Typical High $4,073.80 | Professional | TC · Technical part | $316.23 | $1,071.52 | $4,073.80 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,071.52 Typical High $1,862.09 | Professional | None (both parts) | $891.25 | $1,071.52 | $1,862.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $616.60 Typical High $933.25 | Professional | 26 · Professional part | $524.81 | $616.60 | $933.25 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $467.74 Typical High $891.25 | Professional | TC · Technical part | $316.23 | $467.74 | $891.25 |
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 $478.63 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | FX · Film X-ray | $776.25 | $776.25 | $776.25 |
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· 28th of 51
$1,096
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.