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 $28.84 Median $123.03 Typical High $194.98 | Facility | TC · Technical part | $28.84 | $123.03 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $51.29 | Professional | None (both parts) | $42.66 | $42.66 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $25.12 | Professional | 26 · Professional part | $23.44 | $23.44 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $24.55 | Professional | TC · Technical part | $19.50 | $19.50 | $24.55 |
BCBS Arizona Setting Facility Modifier None Typical Low $19.50 Median $85.11 Typical High $125.89 | Facility | None | $19.50 | $85.11 | $125.89 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $112.20 | Professional | None (both parts) | $46.77 | $46.77 | $112.20 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $56.23 | Professional | 26 · Professional part | $23.44 | $23.44 | $56.23 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $54.95 | Professional | TC · Technical part | $23.44 | $23.44 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $251.19 Typical High $302.00 | Facility | None | $208.93 | $251.19 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $58.88 Typical High $204.17 | Professional | None (both parts) | $35.48 | $58.88 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.70 Typical High $44.67 | Professional | 26 · Professional part | $19.50 | $25.70 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $26.92 Typical High $169.82 | Professional | TC · Technical part | $15.49 | $26.92 | $169.82 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $46.77 Typical High $338.84 | Facility | None | $42.66 | $46.77 | $338.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $38.02 Median $218.78 Typical High $1,698.24 | Professional | None (both parts) | $38.02 | $218.78 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $54.95 Typical High $218.78 | Professional | 26 · Professional part | $21.38 | $54.95 | $218.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $190.55 Typical High $1,548.82 | Professional | TC · Technical part | $16.60 | $190.55 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $53.70 Typical High $173.78 | Professional | None (both parts) | $38.02 | $53.70 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.39 Typical High $46.77 | Professional | 26 · Professional part | $20.89 | $22.39 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $33.11 Typical High $134.90 | Professional | TC · Technical part | $16.60 | $33.11 | $134.90 |
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 $21.38 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | FX · Film X-ray | $34.67 | $34.67 | $34.67 |
Where Arizona sits
The same service costs 7.2 times more in Alabama 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· 22nd of 51
$74.13
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.