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 $162.18 Median $162.18 Typical High $208.93 | Facility | None | $162.18 | $162.18 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $147.91 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $56.23 | $77.62 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $95.50 | $128.82 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
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 $61.66 Median $109.65 Typical High $169.82 | Professional | 32 · Mandated service | $61.66 | $109.65 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,168.69 Typical High $7,762.47 | Facility | None | $602.56 | $4,168.69 | $7,762.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $338.84 | Professional | None (both parts) | $131.83 | $158.49 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $54.95 | $64.57 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $93.33 Typical High $257.04 | Professional | TC · Technical part | $87.10 | $93.33 | $257.04 |
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 $141.25 Median $186.21 Typical High $467.74 | Professional | None (both parts) | $141.25 | $186.21 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $47.86 | $60.26 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $117.49 Typical High $371.54 | Professional | TC · Technical part | $91.20 | $117.49 | $371.54 |
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 $74.13 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $74.13 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $29.51 | $41.69 | $41.69 |
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· 34th of 51
$209
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.