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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $112.20 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $48.98 | $69.18 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $63.10 | $85.11 | $85.11 |
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 $53.70 Median $77.62 Typical High $128.82 | Professional | 32 · Mandated service | $53.70 | $77.62 | $128.82 |
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 $114.82 Median $147.91 Typical High $295.12 | Professional | None (both parts) | $114.82 | $147.91 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $61.66 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $208.93 | Professional | TC · Technical part | $74.13 | $87.10 | $208.93 |
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 $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 $42.66 Median $52.48 Typical High $77.62 | Professional | 26 · Professional part | $42.66 | $52.48 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $363.08 | Professional | TC · Technical part | $61.66 | $83.18 | $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 $54.95 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $54.95 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $21.88 | $30.90 | $30.90 |
Where Alabama sits
The same service costs 4.9 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· 35th of 51
$155
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.