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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
BCBS Arizona Setting Facility Modifier None Typical Low $15.85 Median $69.18 Typical High $102.33 | Facility | None | $15.85 | $69.18 | $102.33 |
BCBS Arizona Setting Professional Modifier None Typical Low $19.05 Median $21.38 Typical High $44.67 | Professional | None | $19.05 | $21.38 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $134.90 Typical High $162.18 | Facility | None | $112.20 | $134.90 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $21.88 Typical High $117.49 | Professional | None | $14.45 | $21.88 | $117.49 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $21.38 Typical High $138.04 | Facility | None | $19.50 | $21.38 | $138.04 |
Medica Setting Professional Modifier None Typical Low $19.50 Median $120.23 Typical High $645.65 | Professional | None | $19.50 | $120.23 | $645.65 |
United Setting Professional Modifier None Typical Low $18.62 Median $37.15 Typical High $114.82 | Professional | None | $18.62 | $37.15 | $114.82 |
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 $9.77 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 53 · Discontinued | $3.89 | $3.89 | $3.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | FX · Film X-ray | $15.49 | $15.49 | $15.49 |
Where Arizona sits
The same service costs 5.5 times more in Alabama than in Pennsylvania. 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· 19th of 51
$37.15
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.