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 $389.05 Median $676.08 Typical High $724.44 | Facility | None | $389.05 | $676.08 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $724.44 Typical High $741.31 | Professional | None (both parts) | $478.63 | $724.44 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $77.62 | $144.54 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $575.44 Typical High $630.96 | Professional | TC · Technical part | $398.11 | $575.44 | $630.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $316.23 Median $331.13 Typical High $389.05 | Professional | None (both parts) | $316.23 | $331.13 | $389.05 |
BCBS Alabama Setting Facility Modifier None Typical Low $275.42 Median $281.84 Typical High $281.84 | Facility | None | $275.42 | $281.84 | $281.84 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $58.88 Median $354.81 Typical High $489.78 | Professional | None (both parts) | $58.88 | $354.81 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $489.78 Typical High $1,047.13 | Facility | None | $457.09 | $489.78 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $575.44 Typical High $831.76 | Professional | None (both parts) | $457.09 | $575.44 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $158.49 | Professional | 26 · Professional part | $81.28 | $95.50 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $478.63 Typical High $707.95 | Professional | TC · Technical part | $338.84 | $478.63 | $707.95 |
United Setting Facility Modifier None Typical Low $436.52 Median $457.09 Typical High $602.56 | Facility | None | $436.52 | $457.09 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $457.09 Typical High $575.44 | Professional | None (both parts) | $251.19 | $457.09 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $104.71 | Professional | 26 · Professional part | $61.66 | $81.28 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $380.19 Typical High $478.63 | Professional | TC · Technical part | $186.21 | $380.19 | $478.63 |
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 $323.59 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $323.59 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $128.82 | $144.54 | $144.54 |
Where Alabama sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 50th of 51
$380
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.