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 $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $4,073.80 Typical High $4,073.80 | Professional | None (both parts) | $2,238.72 | $4,073.80 | $4,073.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $79.43 | $117.49 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,238.72 Median $3,981.07 Typical High $3,981.07 | Professional | TC · Technical part | $2,238.72 | $3,981.07 | $3,981.07 |
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 $58.88 Median $154.88 Typical High $251.19 | Professional | 32 · Mandated service | $58.88 | $154.88 | $251.19 |
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 $107.15 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $107.15 | $138.04 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $151.36 | Professional | 26 · Professional part | $79.43 | $93.33 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $42.66 Typical High $70.79 | Professional | TC · Technical part | $37.15 | $42.66 | $70.79 |
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 $100.00 Median $1,096.48 Typical High $1,862.09 | Professional | None (both parts) | $100.00 | $1,096.48 | $1,862.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $69.18 | $87.10 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $1,023.29 Typical High $1,737.80 | Professional | TC · Technical part | $30.20 | $1,023.29 | $1,737.80 |
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 $1,202.26 Median $2,041.74 Typical High $2,041.74 | Professional | 52 · Reduced service | $1,202.26 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $812.83 Typical High $812.83 | Professional | 53 · Discontinued | $489.78 | $812.83 | $812.83 |
Where Alabama sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 9th of 51
$1,230
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.