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 $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $123.03 | $123.03 | $123.03 |
BCBS Alabama Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
BCBS Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.62 Median $93.33 Typical High $128.82 | Professional | 81 · Minimal assistant surgeon | $18.62 | $93.33 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $1,047.13 | Facility | None | $213.80 | $213.80 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $177.83 Typical High $549.54 | Professional | None (both parts) | $165.96 | $177.83 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $102.33 | Professional | 26 · Professional part | $31.62 | $34.67 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $446.68 | Professional | TC · Technical part | $131.83 | $144.54 | $446.68 |
United Setting Facility Modifier None Typical Low $467.74 Median $478.63 Typical High $645.65 | Facility | None | $467.74 | $478.63 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $134.90 Typical High $302.00 | Professional | None (both parts) | $95.50 | $134.90 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.70 Typical High $53.70 | Professional | 26 · Professional part | $19.05 | $25.70 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $234.42 | Professional | TC · Technical part | $75.86 | $102.33 | $234.42 |
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 Facility Modifier FX · Film X-ray Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | FX · Film X-ray | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $31.62 | $31.62 | $31.62 |
Where Alabama sits
The same service costs 5.2 times more in Alabama than in Texas. 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· 1st of 51
$550
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.