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 TC · Technical part Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | TC · Technical part | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $134.90 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $61.66 | $87.10 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $74.13 | $107.15 | $107.15 |
BCBS Alabama Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $89.13 Median $151.36 Typical High $275.42 | Professional | 32 · Mandated service | $89.13 | $151.36 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,047.13 Typical High $1,202.26 | Facility | None | $588.84 | $1,047.13 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $302.00 | Professional | None (both parts) | $120.23 | $134.90 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $63.10 | $74.13 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $181.97 | Professional | TC · Technical part | $60.26 | $60.26 | $181.97 |
United Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $1,258.93 | Facility | None | $912.01 | $954.99 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $169.82 Typical High $302.00 | Professional | None (both parts) | $109.65 | $169.82 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $95.50 | Professional | 26 · Professional part | $52.48 | $66.07 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $75.86 Typical High $218.78 | Professional | TC · Technical part | $56.23 | $75.86 | $218.78 |
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 $69.18 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $69.18 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $27.54 | $38.90 | $38.90 |
Where Alabama sits
The same service costs 4.6 times more in Alaska than in Utah. 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
$195
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.