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 $30.20 Median $30.20 Typical High $30.20 | Facility | TC · Technical part | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $44.67 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $21.88 | $30.20 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.20 Typical High $30.20 | Professional | TC · Technical part | $22.39 | $30.20 | $30.20 |
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 $19.05 Median $25.70 Typical High $58.88 | Professional | 12 + 32 · Mandated service | $19.05 | $25.70 | $58.88 |
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 $58.88 Median $83.18 Typical High $102.33 | Professional | None (both parts) | $58.88 | $83.18 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $42.66 | Professional | 26 · Professional part | $28.18 | $34.67 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $48.98 Typical High $61.66 | Professional | TC · Technical part | $38.02 | $48.98 | $61.66 |
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 $38.02 Median $48.98 Typical High $93.33 | Professional | None (both parts) | $38.02 | $48.98 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.44 Typical High $38.90 | Professional | 26 · Professional part | $18.20 | $23.44 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.70 Typical High $54.95 | Professional | TC · Technical part | $19.05 | $25.70 | $54.95 |
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 $22.39 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $22.39 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $8.91 | $12.02 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $31.62 Typical High $47.86 | Professional | FX · Film X-ray | $27.54 | $31.62 | $47.86 |
Where Alabama sits
The same service costs 4.5 times more in Alaska than in Utah. 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
$66.07
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.