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 $89.13 Median $380.19 Typical High $602.56 | Facility | TC · Technical part | $89.13 | $380.19 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $72.44 | Professional | None (both parts) | $67.61 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 26 · Professional part | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $64.57 | Professional | TC · Technical part | $60.26 | $60.26 | $64.57 |
BCBS Arizona Setting Facility Modifier None Typical Low $66.07 Median $281.84 Typical High $426.58 | Facility | None | $66.07 | $281.84 | $426.58 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $204.17 | Professional | None (both parts) | $87.10 | $87.10 | $204.17 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $18.62 | Professional | 26 · Professional part | $7.94 | $7.94 | $18.62 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $186.21 | Professional | TC · Technical part | $79.43 | $79.43 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $239.88 Typical High $346.74 | Facility | None | $125.89 | $239.88 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $81.28 Typical High $125.89 | Professional | None (both parts) | $56.23 | $81.28 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $8.91 Typical High $15.14 | Professional | 26 · Professional part | $6.03 | $8.91 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $72.44 Typical High $112.20 | Professional | TC · Technical part | $51.29 | $72.44 | $112.20 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $74.13 Typical High $141.25 | Facility | None | $67.61 | $74.13 | $141.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $64.57 Median $169.82 Typical High $501.19 | Professional | None (both parts) | $64.57 | $169.82 | $501.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $17.78 Typical High $154.88 | Professional | 26 · Professional part | $6.76 | $17.78 | $154.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $158.49 Typical High $416.87 | Professional | TC · Technical part | $57.54 | $158.49 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $67.61 Typical High $138.04 | Professional | None (both parts) | $61.66 | $67.61 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.76 Typical High $15.14 | Professional | 26 · Professional part | $6.61 | $7.76 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $60.26 Typical High $125.89 | Professional | TC · Technical part | $56.23 | $60.26 | $125.89 |
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 $33.88 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | FX · Film X-ray | $54.95 | $54.95 | $54.95 |
Where Arizona sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 28th of 51
$95.50
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.