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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $257.04 | Professional | None (both parts) | $162.18 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $79.43 | $125.89 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $95.50 Typical High $112.20 | Professional | TC · Technical part | $74.13 | $95.50 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $87.10 | $117.49 | $117.49 |
BCBS Alabama Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Facility | None | $6,025.60 | $6,025.60 | $6,025.60 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $87.10 Median $190.55 Typical High $309.03 | Professional | 32 · Mandated service | $87.10 | $190.55 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $7,079.46 Typical High $13,182.57 | Facility | None | $3,715.35 | $7,079.46 | $13,182.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $338.84 | Professional | None (both parts) | $134.90 | $158.49 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $120.23 | Professional | 26 · Professional part | $63.10 | $63.10 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $234.42 | Professional | TC · Technical part | $81.28 | $95.50 | $234.42 |
United Setting Facility Modifier None Typical Low $6,456.54 Median $6,760.83 Typical High $8,912.51 | Facility | None | $6,456.54 | $6,760.83 | $8,912.51 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $467.74 | Professional | None (both parts) | $141.25 | $186.21 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $77.62 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $77.62 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $93.33 Typical High $363.08 | Professional | TC · Technical part | $69.18 | $93.33 | $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 $77.62 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $77.62 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $30.90 | $44.67 | $44.67 |
Where Alabama sits
The same service costs 5.2 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· 29th of 51
$224
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.