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 $53.70 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $53.70 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $16.22 | $22.91 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $38.02 | $54.95 | $54.95 |
BCBS Alabama Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $16.60 Median $39.81 Typical High $56.23 | Professional | 32 · Mandated service + 81 · Minimal assistant surgeon | $16.60 | $39.81 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $724.44 Typical High $1,348.96 | Facility | None | $223.87 | $724.44 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $53.70 Typical High $85.11 | Professional | None (both parts) | $45.71 | $53.70 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.50 Typical High $30.20 | Professional | 26 · Professional part | $16.60 | $19.50 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.88 Typical High $64.57 | Professional | TC · Technical part | $31.62 | $33.88 | $64.57 |
United Setting Facility Modifier None Typical Low $630.96 Median $660.69 Typical High $870.96 | Facility | None | $630.96 | $660.69 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $52.48 Typical High $67.61 | Professional | None (both parts) | $35.48 | $52.48 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.98 Typical High $25.12 | Professional | 26 · Professional part | $13.80 | $16.98 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $34.67 Typical High $44.67 | Professional | TC · Technical part | $20.89 | $34.67 | $44.67 |
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 Facility Modifier FX · Film X-ray Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | FX · Film X-ray | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $26.92 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $10.72 | $15.49 | $15.49 |
Where Alabama sits
The same service costs 5.6 times more in Alaska than in Utah. 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.
Alabama· 28th of 51
$63.10
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.