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 Typical Low $112.20 Median $120.23 Typical High $162.18 | Professional | None | $112.20 | $120.23 | $162.18 |
BCBS Alabama Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
BCBS Alabama Setting Professional Modifier None Typical Low $85.11 Median $117.49 Typical High $165.96 | Professional | None | $85.11 | $117.49 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $75.86 Typical High $630.96 | Facility | None | $60.26 | $75.86 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $154.88 | Professional | None | $83.18 | $104.71 | $154.88 |
United Setting Facility Modifier None Typical Low $316.23 Median $645.65 Typical High $2,511.89 | Facility | None | $316.23 | $645.65 | $2,511.89 |
United Setting Professional Modifier None Typical Low $69.18 Median $109.65 Typical High $181.97 | Professional | None | $69.18 | $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 $56.23 Median $56.23 Typical High $81.28 | Professional | 52 · Reduced service | $56.23 | $56.23 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $32.36 | Professional | 53 · Discontinued | $22.39 | $22.39 | $32.36 |
Where Alabama sits
The same service costs 2.8 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· 33rd of 51
$129
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.