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 $44.67 Median $69.18 Typical High $69.18 | Facility | None | $44.67 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $48.98 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $28.84 | $40.74 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $27.54 Typical High $27.54 | Professional | TC · Technical part | $18.62 | $27.54 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $40.74 Median $44.67 Typical High $54.95 | Professional | None (both parts) | $40.74 | $44.67 | $54.95 |
BCBS Alabama Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
BCBS Alabama Setting Professional Modifier 12 Typical Low $24.55 Median $42.66 Typical High $67.61 | Professional | 12 | $24.55 | $42.66 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $29.51 Typical High $707.95 | Facility | None | $19.95 | $29.51 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $48.98 Typical High $72.44 | Professional | None (both parts) | $46.77 | $48.98 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $26.30 | $30.90 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $18.20 Typical High $26.92 | Professional | TC · Technical part | $14.45 | $18.20 | $26.92 |
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 $38.02 Median $45.71 Typical High $69.18 | Professional | None (both parts) | $38.02 | $45.71 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $28.84 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $16.98 Typical High $25.70 | Professional | TC · Technical part | $12.88 | $16.98 | $25.70 |
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 $33.88 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.80 | $13.80 | $13.80 |
Where Alabama sits
The same service costs 6.5 times more in Minnesota 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· 18th of 51
$69.18
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.