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 $562.34 Median $954.99 Typical High $2,398.83 | Facility | None | $562.34 | $954.99 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $316.23 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $112.20 | $147.91 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $204.17 | $245.47 | $245.47 |
BCBS Alabama Setting Facility Modifier None Typical Low $549.54 Median $562.34 Typical High $562.34 | Facility | None | $549.54 | $562.34 | $562.34 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $54.95 Median $138.04 Typical High $213.80 | Professional | 32 · Mandated service | $54.95 | $138.04 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $144.54 Typical High $501.19 | Facility | None | $117.49 | $144.54 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $114.82 | $190.55 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $74.13 | $81.28 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $173.78 | Professional | TC · Technical part | $107.15 | $107.15 | $173.78 |
United Setting Facility Modifier None Typical Low $100.00 Median $363.08 Typical High $1,380.38 | Facility | None | $100.00 | $363.08 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $162.18 | $208.93 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $114.82 | Professional | 26 · Professional part | $60.26 | $75.86 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $131.83 Typical High $204.17 | Professional | TC · Technical part | $97.72 | $131.83 | $204.17 |
2 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 $194.98 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $77.62 | $77.62 | $77.62 |
Where Alabama sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 9th of 51
$389
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.