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 $208.93 Median $870.96 Typical High $1,412.54 | Facility | TC · Technical part | $208.93 | $870.96 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $141.25 | $141.25 | $141.25 |
BCBS Arizona Setting Facility Modifier None Typical Low $141.25 Median $602.56 Typical High $912.01 | Facility | None | $141.25 | $602.56 | $912.01 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $436.52 | Professional | None (both parts) | $181.97 | $181.97 | $436.52 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $38.90 | Professional | 26 · Professional part | $16.22 | $16.22 | $38.90 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $398.11 | Professional | TC · Technical part | $165.96 | $165.96 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $776.25 Typical High $1,023.29 | Facility | None | $512.86 | $776.25 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $316.23 | Professional | None (both parts) | $131.83 | $177.83 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.50 Typical High $33.88 | Professional | 26 · Professional part | $13.80 | $19.50 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $154.88 Typical High $281.84 | Professional | TC · Technical part | $117.49 | $154.88 | $281.84 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $173.78 Typical High $323.59 | Facility | None | $144.54 | $173.78 | $323.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $380.19 Typical High $1,047.13 | Professional | None (both parts) | $141.25 | $380.19 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $38.90 Typical High $208.93 | Professional | 26 · Professional part | $14.79 | $38.90 | $208.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $354.81 Typical High $954.99 | Professional | TC · Technical part | $134.90 | $354.81 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $177.83 Typical High $316.23 | Professional | None (both parts) | $141.25 | $177.83 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.38 Typical High $33.11 | Professional | 26 · Professional part | $14.79 | $17.38 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $162.18 Typical High $281.84 | Professional | TC · Technical part | $123.03 | $162.18 | $281.84 |
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 $79.43 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $125.89 | $125.89 | $125.89 |
Where Arizona sits
The same service costs 4.5 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· 22nd of 51
$224
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.