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 Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $128.82 | Professional | None (both parts) | $104.71 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $21.38 | Professional | 26 · Professional part | $19.50 | $19.50 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $109.65 | Professional | TC · Technical part | $87.10 | $87.10 | $109.65 |
BCBS Arizona Setting Facility Modifier None Typical Low $85.11 Median $371.54 Typical High $549.54 | Facility | None | $85.11 | $371.54 | $549.54 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $288.40 | Professional | None (both parts) | $120.23 | $120.23 | $288.40 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $44.67 | Professional | 26 · Professional part | $19.05 | $19.05 | $44.67 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $239.88 | Professional | TC · Technical part | $102.33 | $102.33 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $478.63 Typical High $1,023.29 | Facility | None | $302.00 | $478.63 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $85.11 | $138.04 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $22.39 Typical High $36.31 | Professional | 26 · Professional part | $15.85 | $22.39 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $114.82 Typical High $151.36 | Professional | TC · Technical part | $69.18 | $114.82 | $151.36 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $117.49 Typical High $218.78 | Facility | None | $104.71 | $117.49 | $218.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $91.20 Median $239.88 Typical High $912.01 | Professional | None (both parts) | $91.20 | $239.88 | $912.01 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $44.67 Typical High $181.97 | Professional | 26 · Professional part | $17.38 | $44.67 | $181.97 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $194.98 Typical High $794.33 | Professional | TC · Technical part | $74.13 | $194.98 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $87.10 | $114.82 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.05 Typical High $38.02 | Professional | 26 · Professional part | $16.98 | $19.05 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $173.78 | Professional | TC · Technical part | $72.44 | $89.13 | $173.78 |
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 Facility Modifier FX · Film X-ray Typical Low $100.00 Median $426.58 Typical High $691.83 | Facility | FX · Film X-ray | $100.00 | $426.58 | $691.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $85.11 | $85.11 | $85.11 |
Where Arizona sits
The same service costs 5.0 times more in Alabama than in New York. 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
$155
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.