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 $173.78 Median $245.47 Typical High $436.52 | Facility | None | $173.78 | $245.47 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $229.09 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $66.07 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $190.55 | $371.54 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $208.93 Median $213.80 Typical High $239.88 | Professional | None (both parts) | $208.93 | $213.80 | $239.88 |
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 (both parts) Typical Low $38.90 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $38.90 | $245.47 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $173.78 Typical High $676.08 | Facility | None | $165.96 | $173.78 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $234.42 | $302.00 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $43.65 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $263.03 Typical High $398.11 | Professional | TC · Technical part | $199.53 | $263.03 | $398.11 |
United Setting Facility Modifier None Typical Low $154.88 Median $162.18 Typical High $213.80 | Facility | None | $154.88 | $162.18 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $239.88 Typical High $309.03 | Professional | None (both parts) | $128.82 | $239.88 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $47.86 | Professional | 26 · Professional part | $28.18 | $37.15 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $208.93 Typical High $269.15 | Professional | TC · Technical part | $100.00 | $208.93 | $269.15 |
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 $194.98 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $194.98 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $79.43 | $87.10 | $87.10 |
Where Alabama sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 46th of 51
$245
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.