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 $79.43 Median $144.54 Typical High $239.88 | Facility | None | $79.43 | $144.54 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $144.54 Typical High $144.54 | Professional | None | $69.18 | $144.54 | $144.54 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $67.61 Typical High $70.79 | Professional | None | $64.57 | $67.61 | $70.79 |
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 $97.72 Median $128.82 Typical High $173.78 | Professional | 32 · Mandated service | $97.72 | $128.82 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $173.78 Typical High $467.74 | Facility | None | $165.96 | $173.78 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $181.97 | Professional | None | $72.44 | $85.11 | $181.97 |
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 Typical Low $56.23 Median $81.28 Typical High $107.15 | Professional | None | $56.23 | $81.28 | $107.15 |
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 $66.07 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $66.07 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $26.30 | $28.84 | $28.84 |
Where Alabama sits
The same service costs 4.5 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· 14th of 51
$145
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.