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 $50.12 Median $75.86 Typical High $77.62 | Professional | None (both parts) | $50.12 | $75.86 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $17.78 Typical High $19.95 | Professional | 26 · Professional part | $12.59 | $17.78 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $58.88 Typical High $60.26 | Professional | TC · Technical part | $38.90 | $58.88 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $39.81 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $39.81 | $47.86 | $47.86 |
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 $13.49 Median $39.81 Typical High $54.95 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $13.49 | $39.81 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $141.25 Typical High $257.04 | Facility | None | $95.50 | $141.25 | $257.04 |
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 $13.49 Median $15.85 Typical High $24.55 | Professional | 26 · Professional part | $13.49 | $15.85 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.02 Typical High $67.61 | Professional | TC · Technical part | $35.48 | $38.02 | $67.61 |
United Setting Facility Modifier None Typical Low $120.23 Median $125.89 Typical High $165.96 | Facility | None | $120.23 | $125.89 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $51.29 Typical High $69.18 | Professional | None (both parts) | $39.81 | $51.29 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.49 Typical High $19.95 | Professional | 26 · Professional part | $10.96 | $13.49 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.02 Typical High $50.12 | Professional | TC · Technical part | $28.18 | $38.02 | $50.12 |
1 more rate 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 $46.77 Median $46.77 Typical High $46.77 | Facility | FX · Film X-ray | $46.77 | $46.77 | $46.77 |
Where Alabama sits
The same service costs 3.5 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.
Alabama· 38th of 51
$60.26
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.