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 $309.03 Median $436.52 Typical High $575.44 | Facility | None | $309.03 | $436.52 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $309.03 Typical High $645.65 | Professional | None (both parts) | $281.84 | $309.03 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $81.28 | Professional | 26 · Professional part | $35.48 | $38.02 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $269.15 Typical High $575.44 | Professional | TC · Technical part | $251.19 | $269.15 | $575.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
BCBS Arizona Setting Facility Modifier None Typical Low $257.04 Median $1,096.48 Typical High $1,659.59 | Facility | None | $257.04 | $1,096.48 | $1,659.59 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $812.83 | Professional | None (both parts) | $346.74 | $346.74 | $812.83 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $87.10 | Professional | 26 · Professional part | $37.15 | $37.15 | $87.10 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $724.44 | Professional | TC · Technical part | $309.03 | $309.03 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $954.99 Typical High $1,548.82 | Facility | None | $707.95 | $954.99 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $257.04 | $302.00 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $30.90 | $40.74 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $257.04 Typical High $478.63 | Professional | TC · Technical part | $223.87 | $257.04 | $478.63 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $338.84 Typical High $1,348.96 | Facility | None | $281.84 | $338.84 | $1,348.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $229.09 Median $758.58 Typical High $2,041.74 | Professional | None (both parts) | $229.09 | $758.58 | $2,041.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $89.13 Typical High $269.15 | Professional | 26 · Professional part | $31.62 | $89.13 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $676.08 Typical High $1,778.28 | Professional | TC · Technical part | $208.93 | $676.08 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $295.12 Typical High $616.60 | Professional | None (both parts) | $229.09 | $295.12 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $74.13 | Professional | 26 · Professional part | $31.62 | $33.88 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $257.04 Typical High $537.03 | Professional | TC · Technical part | $194.98 | $257.04 | $537.03 |
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 $151.36 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | FX · Film X-ray | $245.47 | $245.47 | $245.47 |
Where Arizona sits
The same service costs 3.5 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· 31st of 51
$363
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.