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 $758.58 Median $758.58 Typical High $1,023.29 | Facility | None | $758.58 | $758.58 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $549.54 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $269.15 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $109.65 | $151.36 | $151.36 |
BCBS Alabama Setting Facility Modifier None Typical Low $8.13 Median $8.32 Typical High $8.32 | Facility | None | $8.13 | $8.32 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $2,089.30 | Facility | None | $537.03 | $537.03 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $954.99 | Professional | None (both parts) | $758.58 | $758.58 | $954.99 |
United Setting Facility Modifier None Typical Low $239.88 Median $602.56 Typical High $660.69 | Facility | None | $239.88 | $602.56 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $331.13 Typical High $398.11 | Professional | None (both parts) | $275.42 | $331.13 | $398.11 |
1 more rate 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 26 · Professional part Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 26 · Professional part | $758.58 | $758.58 | $758.58 |
Where Alabama sits
The same service costs 114.8 times more in Wisconsin than in Alabama. 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· 51st of 51
$8.32
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.