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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $204.17 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $74.13 | $74.13 | $74.13 |
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 None (both parts) Typical Low $74.13 Median $89.13 Typical High $162.18 | Professional | None (both parts) | $74.13 | $89.13 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $181.97 Typical High $204.17 | Professional | None (both parts) | $169.82 | $181.97 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $114.82 Typical High $134.90 | Professional | 26 · Professional part | $104.71 | $114.82 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $66.07 Typical High $75.86 | Professional | TC · Technical part | $61.66 | $66.07 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $208.93 | Professional | None (both parts) | $125.89 | $162.18 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $100.00 Typical High $128.82 | Professional | 26 · Professional part | $75.86 | $100.00 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $81.28 | Professional | TC · Technical part | $52.48 | $63.10 | $81.28 |
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 $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $112.20 Typical High $165.96 | Professional | FX · Film X-ray | $102.33 | $112.20 | $165.96 |
Where Alabama sits
The same service costs 4.2 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· 29th of 51
$182
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.