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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $66.07 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $26.30 | $37.15 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $39.81 | $51.29 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $87.10 | Professional | None (both parts) | $63.10 | $63.10 | $87.10 |
BCBS Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
BCBS Setting Professional Modifier 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $29.51 Median $74.13 Typical High $141.25 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $29.51 | $74.13 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $141.25 Typical High $257.04 | Facility | None | $95.50 | $141.25 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $117.49 | Professional | None (both parts) | $69.18 | $81.28 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $45.71 | Professional | 26 · Professional part | $27.54 | $32.36 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $75.86 | Professional | TC · Technical part | $40.74 | $47.86 | $75.86 |
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 $53.70 Median $69.18 Typical High $102.33 | Professional | None (both parts) | $53.70 | $69.18 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $38.02 | Professional | 26 · Professional part | $22.39 | $27.54 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $40.74 Typical High $66.07 | Professional | TC · Technical part | $31.62 | $40.74 | $66.07 |
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 $33.11 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $33.11 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $13.18 | $17.78 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $50.12 Typical High $70.79 | Professional | FX · Film X-ray | $42.66 | $50.12 | $70.79 |
Where Alabama sits
The same service costs 4.4 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· 23rd of 51
$89.13
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.