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 $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $117.49 | $117.49 | $117.49 |
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 $27.54 Median $91.20 Typical High $128.82 | Professional | None (both parts) | $27.54 | $91.20 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $173.78 | Professional | None (both parts) | $138.04 | $151.36 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $50.12 | Professional | 26 · Professional part | $38.90 | $43.65 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $109.65 Typical High $123.03 | Professional | TC · Technical part | $97.72 | $109.65 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $95.50 | $114.82 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $51.29 | Professional | 26 · Professional part | $27.54 | $35.48 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $81.28 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $81.28 | $120.23 |
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 $95.50 Median $95.50 Typical High $95.50 | Facility | FX · Film X-ray | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $93.33 Typical High $134.90 | Professional | FX · Film X-ray | $87.10 | $93.33 | $134.90 |
Where Alabama sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 47th of 51
$115
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.