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 $120.23 Median $512.86 Typical High $831.76 | Facility | TC · Technical part | $120.23 | $512.86 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | None (both parts) | $100.00 | $100.00 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $19.50 | Professional | 26 · Professional part | $17.38 | $17.38 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $107.15 | Professional | TC · Technical part | $83.18 | $83.18 | $107.15 |
BCBS Arizona Setting Facility Modifier None Typical Low $26.30 Median $114.82 Typical High $169.82 | Facility | None | $26.30 | $114.82 | $169.82 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $275.42 | Professional | None (both parts) | $117.49 | $117.49 | $275.42 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $41.69 | Professional | 26 · Professional part | $17.38 | $17.38 | $41.69 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $234.42 | Professional | TC · Technical part | $100.00 | $100.00 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $457.09 Typical High $1,023.29 | Facility | None | $239.88 | $457.09 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $93.33 | $112.20 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $33.11 | Professional | 26 · Professional part | $14.79 | $19.05 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $165.96 | Professional | TC · Technical part | $79.43 | $91.20 | $165.96 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $109.65 Typical High $208.93 | Facility | None | $100.00 | $109.65 | $208.93 |
Medica Setting Professional Modifier None (both parts) Typical Low $83.18 Median $251.19 Typical High $1,122.02 | Professional | None (both parts) | $83.18 | $251.19 | $1,122.02 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $40.74 Typical High $338.84 | Professional | 26 · Professional part | $15.49 | $40.74 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $208.93 Typical High $794.33 | Professional | TC · Technical part | $67.61 | $208.93 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $97.72 Typical High $199.53 | Professional | None (both parts) | $83.18 | $97.72 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.22 Typical High $33.88 | Professional | 26 · Professional part | $15.14 | $16.22 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $162.18 | Professional | TC · Technical part | $67.61 | $79.43 | $162.18 |
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 $50.12 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $81.28 | $81.28 | $81.28 |
Where Arizona sits
The same service costs 5.5 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· 38th of 51
$117
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.