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 $1,819.70 Median $3,090.30 Typical High $3,801.89 | Facility | None | $1,819.70 | $3,090.30 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $1,819.70 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $1,819.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $112.20 | $154.88 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | TC · Technical part | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,348.96 Median $5,754.40 Typical High $8,709.64 | Facility | None | $1,348.96 | $5,754.40 | $8,709.64 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $3,981.07 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $3,981.07 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $173.78 | Professional | 26 · Professional part | $72.44 | $72.44 | $173.78 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $1,584.89 Median $1,584.89 Typical High $3,801.89 | Professional | TC · Technical part | $1,584.89 | $1,584.89 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,174.90 Typical High $3,388.44 | Facility | None | $1,122.02 | $1,174.90 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $630.96 Typical High $1,288.25 | Professional | None (both parts) | $281.84 | $630.96 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $77.62 Typical High $131.83 | Professional | 26 · Professional part | $50.12 | $77.62 | $131.83 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $1,348.96 Typical High $1,778.28 | Facility | None | $295.12 | $1,348.96 | $1,778.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $2,511.89 Typical High $10,000.00 | Professional | None (both parts) | $1,148.15 | $2,511.89 | $10,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $144.54 Typical High $3,162.28 | Professional | 26 · Professional part | $63.10 | $144.54 | $3,162.28 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $2,398.83 Typical High $7,244.36 | Professional | TC · Technical part | $1,071.52 | $2,398.83 | $7,244.36 |
United Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,348.96 Typical High $2,951.21 | Professional | None (both parts) | $851.14 | $1,348.96 | $2,951.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $67.61 Typical High $147.91 | Professional | 26 · Professional part | $61.66 | $67.61 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,318.26 Typical High $2,818.38 | Professional | TC · Technical part | $776.25 | $1,318.26 | $2,818.38 |
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 $616.60 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | FX · Film X-ray | $1,000.00 | $1,000.00 | $1,000.00 |
Where Arizona sits
The same service costs 4.4 times more in Nebraska than in Washington. 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· 11th of 51
$1,820
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.