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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $109.65 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $47.86 | $70.79 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $61.66 | $79.43 | $79.43 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
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 $50.12 Median $74.13 Typical High $128.82 | Professional | 32 · Mandated service | $50.12 | $74.13 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,041.74 Typical High $3,801.89 | Facility | None | $524.81 | $2,041.74 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $288.40 | Professional | None (both parts) | $112.20 | $144.54 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $52.48 | $61.66 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $83.18 Typical High $208.93 | Professional | TC · Technical part | $70.79 | $83.18 | $208.93 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $1,905.46 Typical High $2,511.89 | Facility | None | $1,819.70 | $1,905.46 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $457.09 | Professional | None (both parts) | $107.15 | $147.91 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $79.43 | Professional | 26 · Professional part | $43.65 | $53.70 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $363.08 | Professional | TC · Technical part | $60.26 | $81.28 | $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 $53.70 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $53.70 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $21.88 | $30.20 | $30.20 |
Where Alabama sits
The same service costs 4.8 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· 36th of 51
$151
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.