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 $89.13 Median $89.13 Typical High $89.13 | Facility | TC · Technical part | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $125.89 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $63.10 | $89.13 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $67.61 | $89.13 | $89.13 |
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 $79.43 Typical High $147.91 | Professional | 32 · Mandated service | $56.23 | $79.43 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $4,168.69 Typical High $7,762.47 | Facility | None | $933.25 | $4,168.69 | $7,762.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $169.82 Typical High $331.13 | Professional | None (both parts) | $128.82 | $169.82 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $117.49 | Professional | 26 · Professional part | $67.61 | $79.43 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $213.80 | Professional | TC · Technical part | $77.62 | $91.20 | $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 $123.03 Median $162.18 Typical High $478.63 | Professional | None (both parts) | $123.03 | $162.18 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $100.00 | Professional | 26 · Professional part | $53.70 | $67.61 | $100.00 |
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 |
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 $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 $25.12 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $25.12 | $35.48 | $35.48 |
Where Alabama sits
The same service costs 4.5 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
$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.