How much rates vary
Facilitymedian $245 · 10th to 90th $148 to $245Professionalmedian $129 · 10th to 90th $81 to $166
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 $102.33 Median $147.91 Typical High $186.21 | Facility | None | $102.33 | $147.91 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $112.20 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $35.48 | $51.29 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $74.13 | $95.50 | $95.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $102.33 | Professional | None (both parts) | $69.18 | $81.28 | $102.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $39.81 | Professional | 26 · Professional part | $28.18 | $28.18 | $39.81 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $91.20 | Professional | TC · Technical part | $45.71 | $53.70 | $91.20 |
BCBS Alabama Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
BCBS Alabama Setting Professional Modifier 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $39.81 Median $83.18 Typical High $158.49 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $39.81 | $83.18 | $158.49 |
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 $109.65 Median $128.82 Typical High $190.55 | Professional | None (both parts) | $109.65 | $128.82 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $63.10 | Professional | 26 · Professional part | $38.02 | $45.71 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $128.82 | Professional | TC · Technical part | $72.44 | $85.11 | $128.82 |
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 $93.33 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $93.33 | $114.82 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $31.62 | $38.90 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $114.82 | Professional | TC · Technical part | $63.10 | $74.13 | $114.82 |
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 $56.23 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $56.23 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $22.39 | $29.51 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $83.18 Typical High $117.49 | Professional | FX · Film X-ray | $72.44 | $83.18 | $117.49 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | 59 · Distinct service | $81.28 | $81.28 | $87.10 |
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· 37th of 51
$129
AK $355TX $93.33
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.