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 $208.93 Median $208.93 Typical High $302.00 | Facility | None | $208.93 | $208.93 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $208.93 Typical High $245.47 | Professional | None (both parts) | $154.88 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $77.62 | $123.03 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $112.20 | Professional | TC · Technical part | $67.61 | $89.13 | $112.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
BCBS Alabama Setting Facility Modifier None Typical Low $2,630.27 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,630.27 | $2,691.53 | $2,691.53 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $85.11 Median $181.97 Typical High $354.81 | Professional | 32 · Mandated service | $85.11 | $181.97 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $4,168.69 Typical High $7,762.47 | Facility | None | $2,238.72 | $4,168.69 | $7,762.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $371.54 | Professional | None (both parts) | $154.88 | $194.98 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $165.96 | Professional | 26 · Professional part | $70.79 | $70.79 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $245.47 | Professional | TC · Technical part | $91.20 | $123.03 | $245.47 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $3,801.89 Typical High $5,011.87 | Facility | None | $3,630.78 | $3,801.89 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $199.53 Typical High $478.63 | Professional | None (both parts) | $141.25 | $199.53 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $56.23 | $85.11 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $95.50 Typical High $363.08 | Professional | TC · Technical part | $64.57 | $95.50 | $363.08 |
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 $74.13 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $74.13 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $29.51 | $41.69 | $41.69 |
Where Alabama sits
The same service costs 5.1 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· 36th of 51
$209
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.