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 $177.83 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $177.83 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $77.62 Typical High $85.11 | Professional | 26 · Professional part | $43.65 | $77.62 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $134.90 | $234.42 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $123.03 Typical High $144.54 | Professional | None (both parts) | $83.18 | $123.03 | $144.54 |
BCBS Alabama Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $48.98 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $48.98 | $138.04 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $446.68 Typical High $977.24 | Facility | None | $50.12 | $446.68 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $218.78 | Professional | None (both parts) | $112.20 | $112.20 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $42.66 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $42.66 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $151.36 | Professional | TC · Technical part | $70.79 | $70.79 | $151.36 |
United Setting Facility Modifier None Typical Low $100.00 Median $371.54 Typical High $1,380.38 | Facility | None | $100.00 | $371.54 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $120.23 | $151.36 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $87.10 | Professional | 26 · Professional part | $32.36 | $39.81 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $181.97 | Professional | TC · Technical part | $85.11 | $109.65 | $181.97 |
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 $154.88 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $61.66 | $61.66 | $61.66 |
Where Alabama sits
The same service costs 5.6 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· 48th of 51
$138
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.