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 $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $181.97 | $181.97 | $181.97 |
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 $15.85 Median $125.89 Typical High $173.78 | Professional | 81 · Minimal assistant surgeon | $15.85 | $125.89 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $1,047.13 | Facility | None | $316.23 | $316.23 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $602.56 | Professional | None (both parts) | $194.98 | $194.98 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $75.86 | Professional | 26 · Professional part | $24.55 | $24.55 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $524.81 | Professional | TC · Technical part | $169.82 | $169.82 | $524.81 |
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 $100.00 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $100.00 | $169.82 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $21.38 Typical High $38.90 | Professional | 26 · Professional part | $15.85 | $21.38 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $147.91 Typical High $269.15 | Professional | TC · Technical part | $81.28 | $147.91 | $269.15 |
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 $144.54 Median $144.54 Typical High $144.54 | Facility | FX · Film X-ray | $144.54 | $144.54 | $144.54 |
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 |
Where Alabama sits
The same service costs 4.7 times more in Alaska 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· 2nd 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.