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 $10.96 Median $14.79 Typical High $14.79 | Professional | None (both parts) | $10.96 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.23 Typical High $10.23 | Professional | 26 · Professional part | $7.41 | $10.23 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $4.37 Typical High $4.37 | Professional | TC · Technical part | $3.39 | $4.37 | $4.37 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $8.51 Median $8.51 Typical High $9.12 | Professional | None (both parts) | $8.51 | $8.51 | $9.12 |
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 Typical Low $3.63 Median $8.91 Typical High $14.45 | Professional | 12 + 32 · Mandated service | $3.63 | $8.91 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $32.36 Typical High $60.26 | Facility | None | $14.45 | $32.36 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.30 Median $16.22 Typical High $21.38 | Professional | None (both parts) | $12.30 | $16.22 | $21.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $15.14 | Professional | 26 · Professional part | $9.33 | $10.96 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.89 Median $5.37 Typical High $7.24 | Professional | TC · Technical part | $3.89 | $5.37 | $7.24 |
United Setting Facility Modifier None Typical Low $33.88 Median $34.67 Typical High $46.77 | Facility | None | $33.88 | $34.67 | $46.77 |
United Setting Professional Modifier None (both parts) Typical Low $9.33 Median $11.22 Typical High $18.20 | Professional | None (both parts) | $9.33 | $11.22 | $18.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.94 Typical High $12.30 | Professional | 26 · Professional part | $6.46 | $7.94 | $12.30 |
United Setting Professional Modifier TC · Technical part Typical Low $1.78 Median $3.47 Typical High $5.25 | Professional | TC · Technical part | $1.78 | $3.47 | $5.25 |
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 53 · Discontinued Typical Low $0.87 Median $0.87 Typical High $0.87 | Facility | 53 · Discontinued | $0.87 | $0.87 | $0.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $7.24 Typical High $7.24 | Professional | 52 · Reduced service | $5.50 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.95 Typical High $2.95 | Professional | 53 · Discontinued | $2.19 | $2.95 | $2.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $6.76 Median $7.94 Typical High $11.75 | Professional | FX · Film X-ray | $6.76 | $7.94 | $11.75 |
Where Alabama sits
The same service costs 3.9 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· 24th of 51
$14.79
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.