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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $46.77 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $30.20 | $40.74 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.88 Typical High $21.88 | Professional | TC · Technical part | $16.98 | $21.88 | $21.88 |
BCBS Alabama Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
BCBS Alabama Setting Professional Modifier 12 + 32 · Mandated service Typical Low $25.70 Median $52.48 Typical High $107.15 | Professional | 12 + 32 · Mandated service | $25.70 | $52.48 | $107.15 |
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 $69.18 Median $100.00 Typical High $123.03 | Professional | None (both parts) | $69.18 | $100.00 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $72.44 | Professional | 26 · Professional part | $44.67 | $58.88 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $40.74 Typical High $52.48 | Professional | TC · Technical part | $33.88 | $40.74 | $52.48 |
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 $42.66 Median $56.23 Typical High $120.23 | Professional | None (both parts) | $42.66 | $56.23 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $64.57 | Professional | 26 · Professional part | $24.55 | $32.36 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $22.39 Typical High $57.54 | Professional | TC · Technical part | $16.60 | $22.39 | $57.54 |
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 Professional Modifier 52 · Reduced service Typical Low $23.44 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $23.44 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $9.33 | $12.59 | $12.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $33.11 Typical High $50.12 | Professional | FX · Film X-ray | $28.18 | $33.11 | $50.12 |
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $239.88 Median $245.47 Typical High $245.47 | Facility | 50 · Both sides | $239.88 | $245.47 | $245.47 |
Where Alabama sits
The same service costs 3.8 times more in Alaska than in Texas. 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· 20th of 51
$83.18
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.