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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $190.55 Typical High $190.55 | Professional | None | $102.33 | $190.55 | $190.55 |
BCBS Alabama Setting Facility Modifier None Typical Low $169.82 Median $173.78 Typical High $173.78 | Facility | None | $169.82 | $173.78 | $173.78 |
BCBS Alabama Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $151.36 | Professional | None | $112.20 | $125.89 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $186.21 | Professional | None | $114.82 | $134.90 | $186.21 |
United Setting Professional Modifier None Typical Low $81.28 Median $107.15 Typical High $141.25 | Professional | None | $81.28 | $107.15 | $141.25 |
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 $83.18 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $83.18 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $33.11 | $38.02 | $38.02 |
Where Alabama sits
The same service costs 4.2 times more in Alaska than in New York. 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· 19th of 51
$151
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.