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 $2,511.89 Median $4,073.80 Typical High $4,073.80 | Professional | None (both parts) | $2,511.89 | $4,073.80 | $4,073.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $50.12 | $70.79 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $3,981.07 Typical High $3,981.07 | Professional | TC · Technical part | $2,511.89 | $3,981.07 | $3,981.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
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 $269.15 Typical High $2,511.89 | Professional | 32 · Mandated service | $54.95 | $269.15 | $2,511.89 |
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 $218.78 Median $316.23 Typical High $457.09 | Professional | None (both parts) | $218.78 | $316.23 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $56.23 | $67.61 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $245.47 Typical High $363.08 | Professional | TC · Technical part | $208.93 | $245.47 | $363.08 |
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 $223.87 Median $2,238.72 Typical High $3,548.13 | Professional | None (both parts) | $223.87 | $2,238.72 | $3,548.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $83.18 | Professional | 26 · Professional part | $44.67 | $53.70 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $2,238.72 Typical High $3,467.37 | Professional | TC · Technical part | $173.78 | $2,238.72 | $3,467.37 |
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 $1,258.93 Median $1,995.26 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,258.93 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $812.83 Typical High $812.83 | Professional | 53 · Discontinued | $501.19 | $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· 14th of 51
$2,399
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.