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 $134.90 Median $562.34 Typical High $1,737.80 | Facility | None | $134.90 | $562.34 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $199.53 Typical High $331.13 | Professional | None | $131.83 | $199.53 | $331.13 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $123.03 | Professional | None | $74.13 | $95.50 | $123.03 |
BCBS Alabama Setting Facility Modifier None Typical Low $1,230.27 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,230.27 | $1,258.93 | $1,258.93 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $177.83 Median $245.47 Typical High $338.84 | Professional | 32 · Mandated service | $177.83 | $245.47 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $190.55 Typical High $407.38 | Professional | None | $128.82 | $190.55 | $407.38 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,258.93 Typical High $2,570.40 | Facility | None | $407.38 | $1,258.93 | $2,570.40 |
United Setting Professional Modifier None Typical Low $77.62 Median $204.17 Typical High $398.11 | Professional | None | $77.62 | $204.17 | $398.11 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | GC · Resident with teaching physician | $64.57 | $64.57 | $64.57 |
Where Alabama sits
The same service costs 4.1 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· 21st of 51
$245
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.