How much rates vary
Facilitymedian $162 · 10th to 90th $148 to $162Professionalmedian $129 · 10th to 90th $81 to $151
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 $104.71 Median $147.91 Typical High $190.55 | Facility | None | $104.71 | $147.91 | $190.55 |
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 $30.90 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $30.90 | $44.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $81.28 | $104.71 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $125.89 | Professional | None (both parts) | $70.79 | $83.18 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $24.55 | $37.15 |
BCBS Alabama Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
BCBS Alabama Setting Professional Modifier 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $28.18 Median $91.20 Typical High $128.82 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $28.18 | $91.20 | $128.82 |
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 $181.97 | Professional | None (both parts) | $109.65 | $128.82 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $53.70 | Professional | 26 · Professional part | $33.11 | $38.90 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $134.90 | Professional | TC · Technical part | $75.86 | $89.13 | $134.90 |
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 $81.28 Median $112.20 Typical High $151.36 | Professional | None (both parts) | $81.28 | $112.20 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $32.36 Typical High $44.67 | Professional | 26 · Professional part | $26.92 | $32.36 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $79.43 Typical High $102.33 | Professional | TC · Technical part | $48.98 | $79.43 | $102.33 |
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 $22.91 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $22.91 | $30.20 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $85.11 Typical High $120.23 | Professional | FX · Film X-ray | $74.13 | $85.11 | $120.23 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $89.13 Median $89.13 Typical High $134.90 | Professional | 59 · Distinct service | $89.13 | $89.13 | $134.90 |
Where Alabama sits
The same service costs 3.6 times more in Alaska than in Florida. 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· 33rd of 51
$129
AK $355FL $97.72
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.