How much rates vary
Facilitymedian $162 · 10th to 90th $141 to $162Professionalmedian $76 · 10th to 90th $63 to $107
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 $54.95 Median $75.86 Typical High $186.21 | Facility | None | $54.95 | $75.86 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $75.86 Typical High $85.11 | Professional | None (both parts) | $61.66 | $75.86 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $25.70 | $36.31 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.02 Typical High $43.65 | Professional | TC · Technical part | $34.67 | $38.02 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $52.48 Median $54.95 Typical High $63.10 | Professional | None (both parts) | $52.48 | $54.95 | $63.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $20.89 | $26.30 | $26.30 |
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 + 81 · Minimal assistant surgeon Typical Low $31.62 Median $61.66 Typical High $125.89 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $31.62 | $61.66 | $125.89 |
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 $75.86 Median $93.33 Typical High $125.89 | Professional | None (both parts) | $75.86 | $93.33 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $42.66 | Professional | 26 · Professional part | $26.30 | $30.90 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $61.66 Typical High $77.62 | Professional | TC · Technical part | $46.77 | $61.66 | $77.62 |
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 $60.26 Median $74.13 Typical High $104.71 | Professional | None (both parts) | $60.26 | $74.13 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $35.48 | Professional | 26 · Professional part | $21.38 | $26.92 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $72.44 | Professional | TC · Technical part | $38.02 | $44.67 | $72.44 |
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 $30.20 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $30.20 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $12.02 | $15.14 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $34.67 Median $43.65 Typical High $60.26 | Professional | FX · Film X-ray | $34.67 | $43.65 | $60.26 |
Where Alabama sits
The same service costs 4.1 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· 34th of 51
$79.43
AK $195TX $47.86
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.