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 $436.52 Median $812.83 Typical High $2,511.89 | Facility | None | $436.52 | $812.83 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $501.19 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $208.93 | $398.11 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $416.87 Typical High $446.68 | Professional | TC · Technical part | $288.40 | $416.87 | $446.68 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $436.52 | Professional | None (both parts) | $389.05 | $389.05 | $436.52 |
BCBS Alabama Setting Facility Modifier None Typical Low $1,584.89 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,584.89 | $1,621.81 | $1,621.81 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $173.78 Median $549.54 Typical High $977.24 | Professional | None (both parts) | $173.78 | $549.54 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,819.70 Typical High $3,311.31 | Facility | None | $758.58 | $1,819.70 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $562.34 Typical High $1,230.27 | Professional | None (both parts) | $478.63 | $562.34 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $263.03 Typical High $389.05 | Professional | 26 · Professional part | $229.09 | $263.03 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $295.12 Typical High $1,000.00 | Professional | TC · Technical part | $251.19 | $295.12 | $1,000.00 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $2,238.72 | Facility | None | $1,621.81 | $1,659.59 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $524.81 Typical High $1,071.52 | Professional | None (both parts) | $371.54 | $524.81 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $223.87 Typical High $302.00 | Professional | 26 · Professional part | $169.82 | $223.87 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $288.40 Typical High $794.33 | Professional | TC · Technical part | $199.53 | $288.40 | $794.33 |
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 $363.08 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $363.08 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $147.91 | $162.18 | $162.18 |
Where Alabama sits
The same service costs 4.9 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· 23rd of 51
$724
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.