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 $223.87 Median $954.99 Typical High $1,513.56 | Facility | TC · Technical part | $223.87 | $954.99 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $151.36 | $151.36 | $151.36 |
BCBS Arizona Setting Facility Modifier None Typical Low $144.54 Median $630.96 Typical High $933.25 | Facility | None | $144.54 | $630.96 | $933.25 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $467.74 | Professional | None (both parts) | $199.53 | $199.53 | $467.74 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $54.95 | Professional | 26 · Professional part | $23.44 | $23.44 | $54.95 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $416.87 | Professional | TC · Technical part | $173.78 | $173.78 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $851.14 Typical High $1,023.29 | Facility | None | $426.58 | $851.14 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $169.82 Typical High $331.13 | Professional | None (both parts) | $154.88 | $169.82 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.70 Typical High $42.66 | Professional | 26 · Professional part | $20.42 | $25.70 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $288.40 | Professional | TC · Technical part | $131.83 | $144.54 | $288.40 |
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 $138.04 Median $446.68 Typical High $1,288.25 | Professional | None (both parts) | $138.04 | $446.68 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $57.54 Typical High $380.19 | Professional | 26 · Professional part | $19.95 | $57.54 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $389.05 Typical High $1,122.02 | Professional | TC · Technical part | $120.23 | $389.05 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $389.05 | Professional | None (both parts) | $138.04 | $169.82 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.88 Typical High $48.98 | Professional | 26 · Professional part | $19.50 | $21.88 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $338.84 | Professional | TC · Technical part | $114.82 | $151.36 | $338.84 |
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 5.5 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· 25th of 51
$240
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.