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 $218.78 Median $933.25 Typical High $1,513.56 | Facility | TC · Technical part | $218.78 | $933.25 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $165.96 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $14.79 | Professional | 26 · Professional part | $14.45 | $14.45 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $186.21 | Professional | TC · Technical part | $151.36 | $151.36 | $186.21 |
BCBS Arizona Setting Facility Modifier None Typical Low $144.54 Median $616.60 Typical High $933.25 | Facility | None | $144.54 | $616.60 | $933.25 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $446.68 | Professional | None (both parts) | $186.21 | $186.21 | $446.68 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $33.11 | Professional | 26 · Professional part | $14.13 | $14.13 | $33.11 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $407.38 | Professional | TC · Technical part | $173.78 | $173.78 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $831.76 Typical High $1,348.96 | Facility | None | $478.63 | $831.76 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $190.55 Typical High $323.59 | Professional | None (both parts) | $138.04 | $190.55 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.85 Typical High $26.92 | Professional | 26 · Professional part | $12.02 | $15.85 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $295.12 | Professional | TC · Technical part | $125.89 | $173.78 | $295.12 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $181.97 Typical High $1,174.90 | Facility | None | $151.36 | $181.97 | $1,174.90 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $389.05 Typical High $1,071.52 | Professional | None (both parts) | $147.91 | $389.05 | $1,071.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $33.88 Typical High $141.25 | Professional | 26 · Professional part | $12.88 | $33.88 | $141.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $363.08 Typical High $977.24 | Professional | TC · Technical part | $134.90 | $363.08 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $331.13 | Professional | None (both parts) | $141.25 | $154.88 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.49 Typical High $28.18 | Professional | 26 · Professional part | $12.30 | $13.49 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $141.25 Typical High $302.00 | Professional | TC · Technical part | $131.83 | $141.25 | $302.00 |
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 $83.18 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | FX · Film X-ray | $131.83 | $131.83 | $131.83 |
Where Arizona sits
The same service costs 4.3 times more in Alabama than in Indiana. 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
$214
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.