How much rates vary
Facilitymedian $245 · 10th to 90th $245 to $288Professionalmedian $126 · 10th to 90th $83 to $148
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 $109.65 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $109.65 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $32.36 | $46.77 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $75.86 | $100.00 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $83.18 | $83.18 | $104.71 |
BCBS Alabama Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
BCBS Alabama Setting Professional Modifier 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $34.67 Median $85.11 Typical High $144.54 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $34.67 | $85.11 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $316.23 Typical High $588.84 | Facility | None | $194.98 | $316.23 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $186.21 | Professional | None (both parts) | $107.15 | $125.89 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $35.48 | $41.69 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $83.18 Typical High $125.89 | Professional | TC · Technical part | $70.79 | $83.18 | $125.89 |
United Setting Facility Modifier None Typical Low $275.42 Median $288.40 Typical High $380.19 | Facility | None | $275.42 | $288.40 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $109.65 Typical High $144.54 | Professional | None (both parts) | $83.18 | $109.65 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $46.77 | Professional | 26 · Professional part | $28.18 | $34.67 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $75.86 Typical High $100.00 | Professional | TC · Technical part | $48.98 | $75.86 | $100.00 |
5 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 $79.43 Median $79.43 Typical High $79.43 | Facility | FX · Film X-ray | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $56.23 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $22.39 | $28.84 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $83.18 Typical High $117.49 | Professional | FX · Film X-ray | $72.44 | $83.18 | $117.49 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 59 · Distinct service | $89.13 | $89.13 | $89.13 |
Where Alabama sits
The same service costs 3.9 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· 34th of 51
$126
AK $347TX $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.