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 $34.67 Median $48.98 Typical High $48.98 | Facility | None | $34.67 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $36.31 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $13.18 | $18.20 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.90 Typical High $30.90 | Professional | TC · Technical part | $22.39 | $30.90 | $30.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.96 Typical High $17.38 | Professional | 26 · Professional part | $10.23 | $10.96 | $17.38 |
BCBS Alabama Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
BCBS Alabama Setting Professional Modifier 12 + 32 · Mandated service Typical Low $18.62 Median $30.90 Typical High $67.61 | Professional | 12 + 32 · Mandated service | $18.62 | $30.90 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $33.88 Typical High $52.48 | Professional | None (both parts) | $29.51 | $33.88 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $23.44 | Professional | 26 · Professional part | $13.80 | $16.22 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $27.54 | Professional | TC · Technical part | $17.78 | $17.78 | $27.54 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.11 Typical High $44.67 | Professional | None (both parts) | $26.92 | $33.11 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.13 Typical High $19.95 | Professional | 26 · Professional part | $11.22 | $14.13 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $19.95 Typical High $26.92 | Professional | TC · Technical part | $14.13 | $19.95 | $26.92 |
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 $18.20 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $18.20 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $7.41 | $9.77 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $26.30 Typical High $38.90 | Professional | FX · Film X-ray | $20.42 | $26.30 | $38.90 |
Where Alabama sits
The same service costs 4.1 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· 31st of 51
$39.81
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.