How much rates vary
Facilitymedian $148 · 10th to 90th $141 to $148Professionalmedian $89 · 10th to 90th $59 to $112
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 $74.13 Median $102.33 Typical High $102.33 | Facility | None | $74.13 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $102.33 Typical High $109.65 | Professional | None (both parts) | $77.62 | $102.33 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $28.84 | $41.69 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $47.86 | $61.66 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $58.88 Typical High $95.50 | Professional | None (both parts) | $50.12 | $58.88 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $39.81 | Professional | 26 · Professional part | $23.44 | $23.44 | $39.81 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $35.48 Typical High $35.48 | Professional | TC · Technical part | $30.20 | $35.48 | $35.48 |
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 $26.30 Median $47.86 Typical High $79.43 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $26.30 | $47.86 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $141.25 Typical High $257.04 | Facility | None | $97.72 | $141.25 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $134.90 | Professional | None (both parts) | $75.86 | $89.13 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $50.12 | Professional | 26 · Professional part | $31.62 | $37.15 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $52.48 Typical High $85.11 | Professional | TC · Technical part | $48.98 | $52.48 | $85.11 |
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 $64.57 Median $77.62 Typical High $114.82 | Professional | None (both parts) | $64.57 | $77.62 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $42.66 | Professional | 26 · Professional part | $25.12 | $30.90 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $46.77 Typical High $72.44 | Professional | TC · Technical part | $38.90 | $46.77 | $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 $38.90 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $38.90 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $15.49 | $20.89 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $57.54 Typical High $83.18 | Professional | FX · Film X-ray | $48.98 | $57.54 | $83.18 |
Where Alabama sits
The same service costs 3.6 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· 36th of 51
$89.13
AK $245TX $67.61
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.