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 $204.17 Median $870.96 Typical High $1,380.38 | Facility | TC · Technical part | $204.17 | $870.96 | $1,380.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | None (both parts) | $177.83 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $40.74 | Professional | 26 · Professional part | $37.15 | $37.15 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $173.78 | Professional | TC · Technical part | $138.04 | $138.04 | $173.78 |
BCBS Arizona Setting Facility Modifier None Typical Low $138.04 Median $588.84 Typical High $891.25 | Facility | None | $138.04 | $588.84 | $891.25 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $478.63 | Professional | None (both parts) | $199.53 | $199.53 | $478.63 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $85.11 | Professional | 26 · Professional part | $36.31 | $36.31 | $85.11 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $389.05 | Professional | TC · Technical part | $162.18 | $162.18 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $776.25 Typical High $1,023.29 | Facility | None | $467.74 | $776.25 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $194.98 Typical High $338.84 | Professional | None (both parts) | $147.91 | $194.98 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $30.20 | $39.81 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $269.15 | Professional | TC · Technical part | $114.82 | $151.36 | $269.15 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $194.98 Typical High $363.08 | Facility | None | $162.18 | $194.98 | $363.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $426.58 Typical High $1,148.15 | Professional | None (both parts) | $151.36 | $426.58 | $1,148.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $87.10 Typical High $316.23 | Professional | 26 · Professional part | $33.11 | $87.10 | $316.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $338.84 Typical High $933.25 | Professional | TC · Technical part | $125.89 | $338.84 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $354.81 | Professional | None (both parts) | $151.36 | $162.18 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $72.44 | Professional | 26 · Professional part | $32.36 | $34.67 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $131.83 Typical High $281.84 | Professional | TC · Technical part | $120.23 | $131.83 | $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 $89.13 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | FX · Film X-ray | $141.25 | $141.25 | $141.25 |
Where Arizona sits
The same service costs 3.8 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· 26th of 51
$234
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.