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 $407.38 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $407.38 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $89.13 | $173.78 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $323.59 | $549.54 | $549.54 |
BCBS Alabama Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $91.20 Median $316.23 Typical High $407.38 | Professional | None (both parts) | $91.20 | $316.23 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $199.53 | $251.19 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $141.25 | Professional | 26 · Professional part | $87.10 | $87.10 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $316.23 | Professional | TC · Technical part | $165.96 | $165.96 | $316.23 |
United Setting Facility Modifier None Typical Low $251.19 Median $851.14 Typical High $1,698.24 | Facility | None | $251.19 | $851.14 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $323.59 Typical High $575.44 | Professional | None (both parts) | $223.87 | $323.59 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $72.44 | $89.13 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $229.09 Typical High $426.58 | Professional | TC · Technical part | $138.04 | $229.09 | $426.58 |
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 $218.78 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $218.78 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $87.10 | $144.54 | $144.54 |
Where Alabama sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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· 43rd of 51
$316
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.