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 $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $123.03 | $123.03 | $123.03 |
BCBS Arizona Setting Facility Modifier None Typical Low $131.83 Median $575.44 Typical High $851.14 | Facility | None | $131.83 | $575.44 | $851.14 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $467.74 | Professional | None (both parts) | $194.98 | $194.98 | $467.74 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $87.10 | Professional | 26 · Professional part | $36.31 | $36.31 | $87.10 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $380.19 | Professional | TC · Technical part | $158.49 | $158.49 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $1,348.96 | Facility | None | $457.09 | $691.83 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $190.55 Typical High $354.81 | Professional | None (both parts) | $131.83 | $190.55 | $354.81 |
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 $100.00 Median $151.36 Typical High $281.84 | Professional | TC · Technical part | $100.00 | $151.36 | $281.84 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $177.83 Typical High $331.13 | Facility | None | $158.49 | $177.83 | $331.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $389.05 Typical High $1,096.48 | Professional | None (both parts) | $147.91 | $389.05 | $1,096.48 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $85.11 Typical High $316.23 | Professional | 26 · Professional part | $30.90 | $85.11 | $316.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $316.23 Typical High $870.96 | Professional | TC · Technical part | $117.49 | $316.23 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $316.23 | Professional | None (both parts) | $147.91 | $173.78 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $72.44 | Professional | 26 · Professional part | $30.90 | $33.88 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $245.47 | Professional | TC · Technical part | $117.49 | $141.25 | $245.47 |
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 $144.54 Median $616.60 Typical High $1,000.00 | Facility | FX · Film X-ray | $144.54 | $616.60 | $1,000.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $128.82 | $128.82 | $128.82 |
Where Arizona sits
The same service costs 4.8 times more in Alabama than in Texas. 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
$229
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.