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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $331.13 Typical High $676.08 | Professional | None (both parts) | $323.59 | $331.13 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $57.54 Typical High $114.82 | Professional | 26 · Professional part | $53.70 | $57.54 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $562.34 | Professional | TC · Technical part | $269.15 | $269.15 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
BCBS Arizona Setting Facility Modifier None Typical Low $263.03 Median $1,122.02 Typical High $1,698.24 | Facility | None | $263.03 | $1,122.02 | $1,698.24 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $870.96 | Professional | None (both parts) | $363.08 | $363.08 | $870.96 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $131.83 | Professional | 26 · Professional part | $54.95 | $54.95 | $131.83 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $741.31 | Professional | TC · Technical part | $309.03 | $309.03 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,174.90 Typical High $1,548.82 | Facility | None | $831.76 | $1,174.90 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $331.13 Typical High $660.69 | Professional | None (both parts) | $275.42 | $331.13 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $63.10 Typical High $107.15 | Professional | 26 · Professional part | $46.77 | $63.10 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $549.54 | Professional | TC · Technical part | $229.09 | $275.42 | $549.54 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $363.08 Typical High $676.08 | Facility | None | $302.00 | $363.08 | $676.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $281.84 Median $812.83 Typical High $2,187.76 | Professional | None (both parts) | $281.84 | $812.83 | $2,187.76 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $131.83 Typical High $346.74 | Professional | 26 · Professional part | $48.98 | $131.83 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $691.83 Typical High $1,819.70 | Professional | TC · Technical part | $229.09 | $691.83 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $309.03 Typical High $660.69 | Professional | None (both parts) | $257.04 | $309.03 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $112.20 | Professional | 26 · Professional part | $48.98 | $52.48 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $263.03 Typical High $549.54 | Professional | TC · Technical part | $218.78 | $263.03 | $549.54 |
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 $162.18 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | FX · Film X-ray | $263.03 | $263.03 | $263.03 |
Where Arizona sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 30th of 51
$407
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.