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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $186.21 Typical High $208.93 | Professional | None (both parts) | $134.90 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $48.98 | $69.18 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $114.82 Typical High $131.83 | Professional | TC · Technical part | $83.18 | $114.82 | $131.83 |
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 $53.70 Median $93.33 Typical High $147.91 | Professional | 32 · Mandated service | $53.70 | $93.33 | $147.91 |
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 $131.83 Median $169.82 Typical High $331.13 | Professional | None (both parts) | $131.83 | $169.82 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $93.33 | Professional | 26 · Professional part | $53.70 | $63.10 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $251.19 | Professional | TC · Technical part | $91.20 | $107.15 | $251.19 |
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 $123.03 Median $165.96 Typical High $467.74 | Professional | None (both parts) | $123.03 | $165.96 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $77.62 | Professional | 26 · Professional part | $42.66 | $52.48 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $107.15 Typical High $363.08 | Professional | TC · Technical part | $77.62 | $107.15 | $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 $64.57 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $64.57 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $25.70 | $37.15 | $37.15 |
Where Alabama sits
The same service costs 4.2 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· 35th of 51
$186
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.