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 $123.03 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $123.03 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $61.66 | $87.10 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $66.07 | $89.13 | $89.13 |
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 $54.95 Median $79.43 Typical High $144.54 | Professional | 32 · Mandated service | $54.95 | $79.43 | $144.54 |
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 $125.89 Median $165.96 Typical High $331.13 | Professional | None (both parts) | $125.89 | $165.96 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $117.49 | Professional | 26 · Professional part | $66.07 | $77.62 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $213.80 | Professional | TC · Technical part | $75.86 | $89.13 | $213.80 |
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 $120.23 Median $162.18 Typical High $478.63 | Professional | None (both parts) | $120.23 | $162.18 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $66.07 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $89.13 Typical High $363.08 | Professional | TC · Technical part | $66.07 | $89.13 | $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 $17.78 Median $17.78 Typical High $17.78 | Facility | 53 · Discontinued | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $61.66 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $24.55 | $35.48 | $35.48 |
Where Alabama sits
The same service costs 4.7 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· 34th of 51
$178
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.