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 Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $309.03 | $309.03 | $309.03 |
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 $37.15 Median $177.83 Typical High $213.80 | Professional | None (both parts) | $37.15 | $177.83 | $213.80 |
BCBS Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.92 Median $158.49 Typical High $229.09 | Professional | 81 · Minimal assistant surgeon | $26.92 | $158.49 | $229.09 |
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 $97.72 Median $112.20 Typical High $128.82 | Professional | None (both parts) | $97.72 | $112.20 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $56.23 | Professional | 26 · Professional part | $42.66 | $47.86 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $64.57 Typical High $72.44 | Professional | TC · Technical part | $57.54 | $64.57 | $72.44 |
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 $87.10 Median $223.87 Typical High $275.42 | Professional | None (both parts) | $87.10 | $223.87 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $53.70 | Professional | 26 · Professional part | $30.90 | $38.90 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $186.21 Typical High $234.42 | Professional | TC · Technical part | $48.98 | $186.21 | $234.42 |
4 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 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | 53 · Discontinued | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $162.18 Typical High $257.04 | Professional | FX · Film X-ray | $120.23 | $162.18 | $257.04 |
Where Alabama sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 26th of 51
$195
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.