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 $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $165.96 | $165.96 | $165.96 |
BCBS Arizona Setting Facility Modifier None Typical Low $162.18 Median $707.95 Typical High $1,047.13 | Facility | None | $162.18 | $707.95 | $1,047.13 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $562.34 | Professional | None (both parts) | $239.88 | $239.88 | $562.34 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $104.71 | Professional | 26 · Professional part | $43.65 | $43.65 | $104.71 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $457.09 | Professional | TC · Technical part | $194.98 | $194.98 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $933.25 Typical High $1,348.96 | Facility | None | $616.60 | $933.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $269.15 Typical High $426.58 | Professional | None (both parts) | $173.78 | $269.15 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $36.31 | $47.86 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $213.80 Typical High $346.74 | Professional | TC · Technical part | $138.04 | $213.80 | $346.74 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $234.42 Typical High $436.52 | Facility | None | $208.93 | $234.42 | $436.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $194.98 Median $501.19 Typical High $1,380.38 | Professional | None (both parts) | $194.98 | $501.19 | $1,380.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $102.33 Typical High $346.74 | Professional | 26 · Professional part | $38.90 | $102.33 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $407.38 Typical High $1,174.90 | Professional | TC · Technical part | $158.49 | $407.38 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $194.98 | $229.09 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $85.11 | Professional | 26 · Professional part | $38.02 | $41.69 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $186.21 Typical High $331.13 | Professional | TC · Technical part | $158.49 | $186.21 | $331.13 |
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 52 · Reduced service Typical Low $123.03 Median $512.86 Typical High $831.76 | Facility | 52 · Reduced service | $123.03 | $512.86 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | FX · Film X-ray | $169.82 | $169.82 | $169.82 |
Where Arizona sits
The same service costs 4.6 times more in Alaska 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· 24th of 51
$302
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.