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 $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | TC · Technical part | $3,981.07 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $4,073.80 Typical High $4,073.80 | Professional | None (both parts) | $2,398.83 | $4,073.80 | $4,073.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $36.31 | $52.48 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,398.83 Median $3,981.07 Typical High $3,981.07 | Professional | TC · Technical part | $2,398.83 | $3,981.07 | $3,981.07 |
BCBS Alabama Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $39.81 Median $204.17 Typical High $2,511.89 | Professional | 32 · Mandated service | $39.81 | $204.17 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $4,168.69 Typical High $7,762.47 | Facility | None | $933.25 | $4,168.69 | $7,762.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $288.40 Typical High $426.58 | Professional | None (both parts) | $208.93 | $288.40 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $67.61 | Professional | 26 · Professional part | $38.90 | $45.71 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $239.88 Typical High $371.54 | Professional | TC · Technical part | $204.17 | $239.88 | $371.54 |
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 $208.93 Median $1,047.13 Typical High $1,778.28 | Professional | None (both parts) | $208.93 | $1,047.13 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $39.81 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $1,023.29 Typical High $1,737.80 | Professional | TC · Technical part | $173.78 | $1,023.29 | $1,737.80 |
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 $1,202.26 Median $1,995.26 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,202.26 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $812.83 Typical High $812.83 | Professional | 53 · Discontinued | $478.63 | $812.83 | $812.83 |
Where Alabama sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 16th of 51
$1,230
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.