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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $295.12 Typical High $295.12 | Professional | None | $158.49 | $295.12 | $295.12 |
Ambetter Setting Professional Modifier None Typical Low $125.89 Median $134.90 Typical High $213.80 | Professional | None | $125.89 | $134.90 | $213.80 |
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 $194.98 Median $263.03 Typical High $363.08 | Professional | None | $194.98 | $263.03 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $363.08 | Professional | None | $165.96 | $194.98 | $363.08 |
United Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $213.80 | Professional | None | $125.89 | $165.96 | $213.80 |
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 $128.82 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $128.82 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $51.29 | $58.88 | $58.88 |
Where Alabama sits
The same service costs 4.5 times more in Alaska than in Florida. 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· 37th of 51
$195
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.