How much rates vary
Facilitymedian $162 · 10th to 90th $141 to $162Professionalmedian $93 · 10th to 90th $71 to $132
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 $125.89 Typical High $190.55 | Facility | None | $89.13 | $125.89 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $97.72 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $28.84 | $40.74 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $67.61 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $63.10 Median $75.86 Typical High $83.18 | Professional | None (both parts) | $63.10 | $75.86 | $83.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $28.18 | Professional | 26 · Professional part | $22.39 | $22.39 | $28.18 |
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 $47.86 Median $74.13 Typical High $169.82 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $47.86 | $74.13 | $169.82 |
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 $70.79 Median $70.79 Typical High $134.90 | Professional | None (both parts) | $70.79 | $70.79 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $48.98 | Professional | 26 · Professional part | $30.20 | $35.48 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $95.50 | Professional | TC · Technical part | $36.31 | $36.31 | $95.50 |
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 $77.62 Median $95.50 Typical High $134.90 | Professional | None (both parts) | $77.62 | $95.50 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $41.69 | Professional | 26 · Professional part | $25.12 | $30.20 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $64.57 Typical High $95.50 | Professional | TC · Technical part | $43.65 | $64.57 | $95.50 |
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 $48.98 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $48.98 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $19.50 | $25.12 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $70.79 Typical High $102.33 | Professional | FX · Film X-ray | $53.70 | $70.79 | $102.33 |
Where Alabama sits
The same service costs 4.2 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· 46th of 51
$97.72
AK $302UT $72.44
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.