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 Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $75.86 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $21.38 | $30.90 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $56.23 | $72.44 | $72.44 |
BCBS Alabama Setting Facility Modifier None Typical Low $173.78 Median $177.83 Typical High $177.83 | Facility | None | $173.78 | $177.83 | $177.83 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $23.44 Median $66.07 Typical High $91.20 | Professional | 32 · Mandated service | $23.44 | $66.07 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $141.25 Typical High $257.04 | Facility | None | $112.20 | $141.25 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $102.33 Typical High $162.18 | Professional | None (both parts) | $72.44 | $102.33 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $40.74 | Professional | 26 · Professional part | $22.39 | $26.30 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $77.62 Typical High $123.03 | Professional | TC · Technical part | $53.70 | $77.62 | $123.03 |
United Setting Facility Modifier None Typical Low $120.23 Median $125.89 Typical High $165.96 | Facility | None | $120.23 | $125.89 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $83.18 Typical High $131.83 | Professional | None (both parts) | $42.66 | $83.18 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $33.88 | Professional | 26 · Professional part | $18.62 | $22.91 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $60.26 Typical High $97.72 | Professional | TC · Technical part | $22.39 | $60.26 | $97.72 |
3 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 Facility Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | 53 · Discontinued | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $38.02 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $15.14 | $20.42 | $20.42 |
Where Alabama sits
The same service costs 3.8 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· 25th of 51
$102
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.