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 $87.10 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $87.10 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $44.67 | $63.10 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $40.74 | $50.12 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
BCBS Alabama Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
BCBS Alabama Setting Professional Modifier 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $31.62 Median $48.98 Typical High $89.13 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $31.62 | $48.98 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $87.10 | $102.33 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $77.62 | Professional | 26 · Professional part | $47.86 | $56.23 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $44.67 Typical High $70.79 | Professional | TC · Technical part | $40.74 | $44.67 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $85.11 Typical High $125.89 | Professional | None (both parts) | $70.79 | $85.11 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $64.57 | Professional | 26 · Professional part | $38.90 | $46.77 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.02 Typical High $63.10 | Professional | TC · Technical part | $33.11 | $38.02 | $63.10 |
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 FX · Film X-ray Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | FX · Film X-ray | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $42.66 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $16.98 | $22.39 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $63.10 Typical High $91.20 | Professional | FX · Film X-ray | $53.70 | $63.10 | $91.20 |
Where Alabama sits
The same service costs 4.2 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· 25th of 51
$110
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.