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 $74.13 Median $114.82 Typical High $416.87 | Facility | None | $74.13 | $114.82 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $79.43 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $16.22 | $24.55 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $63.10 | $89.13 | $89.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 26 · Professional part | $13.49 | $13.49 | $13.49 |
BCBS Alabama Setting Facility Modifier None Typical Low $173.78 Median $177.83 Typical High $177.83 | Facility | None | $173.78 | $177.83 | $177.83 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $26.92 Median $97.72 Typical High $138.04 | Professional | 32 · Mandated service | $26.92 | $97.72 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $316.23 Typical High $588.84 | Facility | None | $194.98 | $316.23 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $77.62 Typical High $125.89 | Professional | None (both parts) | $66.07 | $77.62 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.38 Typical High $33.11 | Professional | 26 · Professional part | $18.20 | $21.38 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $112.20 | Professional | TC · Technical part | $56.23 | $56.23 | $112.20 |
United Setting Facility Modifier None Typical Low $275.42 Median $288.40 Typical High $380.19 | Facility | None | $275.42 | $288.40 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $53.70 | $83.18 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.62 Typical High $26.92 | Professional | 26 · Professional part | $14.79 | $18.62 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $64.57 Typical High $79.43 | Professional | TC · Technical part | $37.15 | $64.57 | $79.43 |
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 $41.69 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $41.69 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $16.60 | $22.91 | $22.91 |
Where Alabama sits
The same service costs 4.0 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· 40th of 51
$91.20
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.