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 TC · Technical part Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | TC · Technical part | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $72.44 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $30.20 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $42.66 | $52.48 | $52.48 |
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 $27.54 Median $45.71 Typical High $93.33 | Professional | 12 + 32 · Mandated service | $27.54 | $45.71 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $141.25 Typical High $257.04 | Facility | None | $112.20 | $141.25 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $141.25 | Professional | None (both parts) | $83.18 | $102.33 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $33.88 | $39.81 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $89.13 | Professional | TC · Technical part | $52.48 | $61.66 | $89.13 |
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 $70.79 Median $91.20 Typical High $114.82 | Professional | None (both parts) | $70.79 | $91.20 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $44.67 | Professional | 26 · Professional part | $27.54 | $33.11 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $57.54 Typical High $70.79 | Professional | TC · Technical part | $42.66 | $57.54 | $70.79 |
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 $36.31 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $36.31 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $14.45 | $19.05 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $53.70 Typical High $75.86 | Professional | FX · Film X-ray | $45.71 | $53.70 | $75.86 |
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 3.7 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· 32nd of 51
$95.50
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.