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 Professional Modifier None (both parts) Typical Low $75.86 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $75.86 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $37.15 | $69.18 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $24.55 | $154.88 | $154.88 |
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 32 · Mandated service Typical Low $27.54 Median $87.10 Typical High $125.89 | Professional | 32 · Mandated service | $27.54 | $87.10 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $173.78 Typical High $323.59 | Facility | None | $123.03 | $173.78 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $165.96 | Professional | None (both parts) | $61.66 | $61.66 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $44.67 | $52.48 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $87.10 | Professional | TC · Technical part | $10.23 | $10.23 | $87.10 |
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 $60.26 Median $97.72 Typical High $154.88 | Professional | None (both parts) | $60.26 | $97.72 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $38.90 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $63.10 Typical High $102.33 | Professional | TC · Technical part | $12.59 | $63.10 | $102.33 |
3 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 Facility Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $102.33 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $40.74 | $45.71 | $45.71 |
Where Alabama sits
The same service costs 6.9 times more in Alaska than in Michigan. 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· 16th of 51
$170
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.