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 $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
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 $158.49 Median $691.83 Typical High $1,023.29 | Facility | None | $158.49 | $691.83 | $1,023.29 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $524.81 | Professional | None (both parts) | $223.87 | $223.87 | $524.81 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $79.43 | Professional | 26 · Professional part | $33.88 | $33.88 | $79.43 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $446.68 | Professional | TC · Technical part | $190.55 | $190.55 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $851.14 Typical High $1,023.29 | Facility | None | $501.19 | $851.14 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $208.93 Typical High $389.05 | Professional | None (both parts) | $165.96 | $208.93 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $63.10 | Professional | 26 · Professional part | $28.84 | $37.15 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $169.82 Typical High $323.59 | Professional | TC · Technical part | $138.04 | $169.82 | $323.59 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $218.78 Typical High $416.87 | Facility | None | $186.21 | $218.78 | $416.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $467.74 Typical High $1,288.25 | Professional | None (both parts) | $169.82 | $467.74 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $81.28 Typical High $363.08 | Professional | 26 · Professional part | $28.84 | $81.28 | $363.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $407.38 Typical High $1,096.48 | Professional | TC · Technical part | $138.04 | $407.38 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $186.21 Typical High $398.11 | Professional | None (both parts) | $162.18 | $186.21 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $67.61 | Professional | 26 · Professional part | $28.84 | $31.62 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $154.88 Typical High $331.13 | Professional | TC · Technical part | $134.90 | $154.88 | $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 FX · Film X-ray Typical Low $194.98 Median $831.76 Typical High $1,318.26 | Facility | FX · Film X-ray | $194.98 | $831.76 | $1,318.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | FX · Film X-ray | $162.18 | $162.18 | $162.18 |
Where Arizona sits
The same service costs 4.6 times more in Alaska 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· 25th of 51
$269
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.