How much rates vary
Facilitymedian $83 · 10th to 90th $83 to $117Professionalmedian $32 · 10th to 90th $23 to $43
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 None Typical Low $29.51 Median $42.66 Typical High $165.96 | Facility | None | $29.51 | $42.66 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $42.66 Typical High $47.86 | Professional | None (both parts) | $29.51 | $42.66 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.13 Typical High $15.14 | Professional | 26 · Professional part | $9.55 | $14.13 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $28.84 Typical High $30.20 | Professional | TC · Technical part | $19.50 | $28.84 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.95 Median $25.12 Typical High $39.81 | Professional | None (both parts) | $19.95 | $25.12 | $39.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.55 Typical High $13.49 | Professional | 26 · Professional part | $7.59 | $9.55 | $13.49 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $16.22 Typical High $26.92 | Professional | TC · Technical part | $13.49 | $16.22 | $26.92 |
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 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $17.38 Median $26.30 Typical High $50.12 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $17.38 | $26.30 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $117.49 Typical High $213.80 | Facility | None | $52.48 | $117.49 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $32.36 Typical High $50.12 | Professional | None (both parts) | $26.30 | $32.36 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.30 Typical High $19.05 | Professional | 26 · Professional part | $10.47 | $12.30 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.95 Typical High $31.62 | Professional | TC · Technical part | $17.78 | $19.95 | $31.62 |
United Setting Facility Modifier None Typical Low $100.00 Median $104.71 Typical High $138.04 | Facility | None | $100.00 | $104.71 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $30.20 Typical High $40.74 | Professional | None (both parts) | $23.44 | $30.20 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.72 Typical High $15.49 | Professional | 26 · Professional part | $8.51 | $10.72 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $19.50 Typical High $26.30 | Professional | TC · Technical part | $14.79 | $19.50 | $26.30 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $19.95 Median $21.38 Typical High $25.12 | Professional | 59 · Distinct service | $19.95 | $21.38 | $25.12 |
Ambetter Setting Professional Modifier FY · Cassette-based X-ray Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | FY · Cassette-based X-ray | $22.91 | $22.91 | $22.91 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | XU · Unusual separate service | $23.44 | $23.44 | $23.44 |
Where Alabama sits
The same service costs 17.0 times more in Vermont 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.
Alabama· 40th of 51
$33.11
VT $447FL $26.30
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.