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 TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | TC · Technical part | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $100.00 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $31.62 | $44.67 | $44.67 |
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 $34.67 Median $81.28 Typical High $114.82 | Professional | 32 · Mandated service | $34.67 | $81.28 | $114.82 |
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 $100.00 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $100.00 | $151.36 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $33.88 | $39.81 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $112.20 Typical High $158.49 | Professional | TC · Technical part | $69.18 | $112.20 | $158.49 |
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 $57.54 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $57.54 | $109.65 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $51.29 | Professional | 26 · Professional part | $27.54 | $33.88 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $75.86 Typical High $138.04 | Professional | TC · Technical part | $27.54 | $75.86 | $138.04 |
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 $50.12 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $50.12 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $19.95 | $27.54 | $27.54 |
Where Alabama sits
The same service costs 4.6 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· 24th of 51
$138
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.