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 Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,288.25 | $1,621.81 | $1,621.81 |
BCBS Alabama Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
BCBS Alabama Setting Professional Modifier 12 Typical Low $1,174.90 Median $1,584.89 Typical High $1,949.84 | Professional | 12 | $1,174.90 | $1,584.89 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $616.60 Typical High $2,511.89 | Facility | None | $478.63 | $616.60 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,174.90 Typical High $1,548.82 | Professional | None | $954.99 | $1,174.90 | $1,548.82 |
United Setting Facility Modifier None Typical Low $371.54 Median $977.24 Typical High $3,801.89 | Facility | None | $371.54 | $977.24 | $3,801.89 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,380.38 | Professional | None | $891.25 | $1,096.48 | $1,380.38 |
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 $812.83 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $323.59 | $323.59 | $323.59 |
Where Alabama sits
The same service costs 3.5 times more in Alaska than in Arkansas. 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· 25th of 51
$1,445
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.