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 $457.09 Median $457.09 Typical High $602.56 | Facility | None | $457.09 | $457.09 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $309.03 | $323.59 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $93.33 | Professional | 26 · Professional part | $46.77 | $48.98 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $269.15 Typical High $524.81 | Professional | TC · Technical part | $257.04 | $269.15 | $524.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $309.03 | Professional | None (both parts) | $269.15 | $269.15 | $309.03 |
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 $354.81 Median $354.81 Typical High $851.14 | Professional | None (both parts) | $354.81 | $354.81 | $851.14 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $112.20 | Professional | 26 · Professional part | $47.86 | $47.86 | $112.20 |
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 $851.14 Median $1,023.29 Typical High $1,584.89 | Facility | None | $851.14 | $1,023.29 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $331.13 Typical High $645.65 | Professional | None (both parts) | $269.15 | $331.13 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $91.20 | Professional | 26 · Professional part | $39.81 | $53.70 | $91.20 |
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 $295.12 Median $354.81 Typical High $660.69 | Facility | None | $295.12 | $354.81 | $660.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $275.42 Median $758.58 Typical High $2,137.96 | Professional | None (both parts) | $275.42 | $758.58 | $2,137.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $114.82 Typical High $346.74 | Professional | 26 · Professional part | $41.69 | $114.82 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $676.08 Typical High $1,819.70 | Professional | TC · Technical part | $234.42 | $676.08 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $302.00 Typical High $645.65 | Professional | None (both parts) | $257.04 | $302.00 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $95.50 | Professional | 26 · Professional part | $41.69 | $44.67 | $95.50 |
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 $158.49 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | FX · Film X-ray | $257.04 | $257.04 | $257.04 |
Where Arizona sits
The same service costs 4.7 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· 22nd of 51
$427
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.