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 None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $141.25 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $34.67 | $47.86 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $104.71 | $138.04 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
BCBS Setting Professional Modifier 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $54.95 Median $107.15 Typical High $186.21 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $54.95 | $107.15 | $186.21 |
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 $134.90 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $134.90 | $162.18 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $36.31 | $42.66 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $173.78 | Professional | TC · Technical part | $97.72 | $120.23 | $173.78 |
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 $102.33 Median $144.54 Typical High $190.55 | Professional | None (both parts) | $102.33 | $144.54 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $47.86 | Professional | 26 · Professional part | $29.51 | $35.48 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $107.15 Typical High $141.25 | Professional | TC · Technical part | $70.79 | $107.15 | $141.25 |
1 more rate 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 FX · Film X-ray Typical Low $91.20 Median $107.15 Typical High $134.90 | Professional | FX · Film X-ray | $91.20 | $107.15 | $134.90 |
Where Alabama sits
The same service costs 4.3 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· 29th of 51
$162
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.