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 $93.33 Median $398.11 Typical High $630.96 | Facility | TC · Technical part | $93.33 | $398.11 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 26 · Professional part | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $63.10 | $63.10 | $63.10 |
BCBS Arizona Setting Facility Modifier None Typical Low $64.57 Median $275.42 Typical High $416.87 | Facility | None | $64.57 | $275.42 | $416.87 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $199.53 | Professional | None (both parts) | $85.11 | $85.11 | $199.53 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $18.62 | Professional | 26 · Professional part | $7.94 | $7.94 | $18.62 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $181.97 | Professional | TC · Technical part | $75.86 | $75.86 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $354.81 Typical High $3,548.13 | Facility | None | $208.93 | $354.81 | $3,548.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $74.13 Typical High $128.82 | Professional | None (both parts) | $57.54 | $74.13 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.55 Typical High $16.22 | Professional | 26 · Professional part | $6.61 | $9.55 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $64.57 Typical High $112.20 | Professional | TC · Technical part | $50.12 | $64.57 | $112.20 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $79.43 Typical High $147.91 | Facility | None | $66.07 | $79.43 | $147.91 |
Medica Setting Professional Modifier None (both parts) Typical Low $58.88 Median $158.49 Typical High $446.68 | Professional | None (both parts) | $58.88 | $158.49 | $446.68 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $18.62 Typical High $123.03 | Professional | 26 · Professional part | $7.08 | $18.62 | $123.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $141.25 Typical High $407.38 | Professional | TC · Technical part | $53.70 | $141.25 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $72.44 Typical High $141.25 | Professional | None (both parts) | $58.88 | $72.44 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.13 Typical High $15.85 | Professional | 26 · Professional part | $7.08 | $8.13 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $66.07 Typical High $125.89 | Professional | TC · Technical part | $50.12 | $66.07 | $125.89 |
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 $36.31 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | FX · Film X-ray | $57.54 | $57.54 | $57.54 |
Where Arizona sits
The same service costs 8.1 times more in Alabama than in Indiana. 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· 27th of 51
$97.72
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.