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 None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $87.10 | $87.10 | $87.10 |
Ambetter 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 |
BCBS Alabama Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $24.55 Median $151.36 Typical High $177.83 | Professional | None (both parts) | $24.55 | $151.36 | $177.83 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $18.20 Median $128.82 Typical High $190.55 | Professional | 32 · Mandated service | $18.20 | $128.82 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $204.17 | Professional | None (both parts) | $151.36 | $177.83 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $57.54 | Professional | 26 · Professional part | $43.65 | $51.29 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $144.54 | Professional | TC · Technical part | $109.65 | $128.82 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $128.82 | $162.18 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $33.11 | $42.66 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $117.49 Typical High $165.96 | Professional | TC · Technical part | $91.20 | $117.49 | $165.96 |
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 $61.66 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $85.11 Typical High $147.91 | Professional | FX · Film X-ray | $67.61 | $85.11 | $147.91 |
Where Alabama sits
The same service costs 4.2 times more in Nebraska 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· 37th of 51
$162
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.