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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $97.72 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $37.15 | $53.70 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $61.66 | $89.13 | $89.13 |
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 $66.07 Median $123.03 Typical High $213.80 | Professional | 32 · Mandated service | $66.07 | $123.03 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,570.40 Typical High $2,951.21 | Facility | None | $1,380.38 | $2,570.40 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $223.87 | Professional | None (both parts) | $87.10 | $102.33 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $74.13 | Professional | 26 · Professional part | $40.74 | $47.86 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $151.36 | Professional | TC · Technical part | $56.23 | $56.23 | $151.36 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $2,344.23 Typical High $3,162.28 | Facility | None | $2,290.87 | $2,344.23 | $3,162.28 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $114.82 Typical High $302.00 | Professional | None (both parts) | $83.18 | $114.82 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $61.66 | Professional | 26 · Professional part | $33.88 | $41.69 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $69.18 Typical High $234.42 | Professional | TC · Technical part | $48.98 | $69.18 | $234.42 |
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 $51.29 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $51.29 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $20.42 | $28.18 | $28.18 |
Where Alabama sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 31st of 51
$141
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.