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 TC · Technical part Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | TC · Technical part | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $128.82 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $30.90 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $95.50 | $134.90 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $91.20 | Professional | None (both parts) | $85.11 | $85.11 | $91.20 |
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 $51.29 Median $173.78 Typical High $245.47 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $51.29 | $173.78 | $245.47 |
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 $100.00 Median $100.00 Typical High $181.97 | Professional | None (both parts) | $100.00 | $100.00 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $53.70 | Professional | 26 · Professional part | $32.36 | $38.02 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $151.36 | Professional | TC · Technical part | $61.66 | $61.66 | $151.36 |
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 $97.72 Median $134.90 Typical High $190.55 | Professional | None (both parts) | $97.72 | $134.90 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $44.67 | Professional | 26 · Professional part | $26.30 | $32.36 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $100.00 Typical High $138.04 | Professional | TC · Technical part | $64.57 | $100.00 | $138.04 |
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 $64.57 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $64.57 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $25.70 | $35.48 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $95.50 Typical High $144.54 | Professional | FX · Film X-ray | $72.44 | $95.50 | $144.54 |
Where Alabama sits
The same service costs 4.9 times more in Wyoming 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· 41st of 51
$141
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.