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 $117.49 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $117.49 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $51.29 | $72.44 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $69.18 | $91.20 | $91.20 |
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 $56.23 Median $81.28 Typical High $138.04 | Professional | 32 · Mandated service | $56.23 | $81.28 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $1,513.56 | Facility | None | $524.81 | $812.83 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $158.49 Typical High $354.81 | Professional | None (both parts) | $120.23 | $158.49 | $354.81 |
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 $79.43 Median $93.33 Typical High $257.04 | Professional | TC · Technical part | $79.43 | $93.33 | $257.04 |
United Setting Facility Modifier None Typical Low $724.44 Median $758.58 Typical High $1,000.00 | Facility | None | $724.44 | $758.58 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $158.49 Typical High $467.74 | Professional | None (both parts) | $114.82 | $158.49 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $75.86 | Professional | 26 · Professional part | $43.65 | $54.95 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $91.20 Typical High $363.08 | Professional | TC · Technical part | $67.61 | $91.20 | $363.08 |
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 $18.20 Median $18.20 Typical High $18.20 | Facility | 53 · Discontinued | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $58.88 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $23.44 | $33.11 | $33.11 |
Where Alabama sits
The same service costs 4.9 times more in Alaska than in Texas. 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
$166
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.