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 TC · Technical part Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | TC · Technical part | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $117.49 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $56.23 | $79.43 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $66.07 | $87.10 | $87.10 |
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 $54.95 Median $77.62 Typical High $141.25 | Professional | 32 · Mandated service | $54.95 | $77.62 | $141.25 |
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 $120.23 Median $162.18 Typical High $316.23 | Professional | None (both parts) | $120.23 | $162.18 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $109.65 | Professional | 26 · Professional part | $60.26 | $70.79 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $213.80 | Professional | TC · Technical part | $75.86 | $89.13 | $213.80 |
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 $117.49 Median $154.88 Typical High $467.74 | Professional | None (both parts) | $117.49 | $154.88 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $89.13 | Professional | 26 · Professional part | $50.12 | $61.66 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $87.10 Typical High $363.08 | Professional | TC · Technical part | $64.57 | $87.10 | $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 $58.88 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $58.88 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $23.44 | $33.11 | $33.11 |
Where Alabama sits
The same service costs 5.4 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
$166
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.