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 $239.88 Median $239.88 Typical High $245.47 | Facility | None | $239.88 | $239.88 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $239.88 Typical High $239.88 | Professional | None | $123.03 | $239.88 | $239.88 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
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 $158.49 Median $165.96 Typical High $229.09 | Professional | 32 · Mandated service | $158.49 | $165.96 | $229.09 |
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 $125.89 Median $128.82 Typical High $229.09 | Professional | None | $125.89 | $128.82 | $229.09 |
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 $95.50 Median $112.20 Typical High $162.18 | Professional | None | $95.50 | $112.20 | $162.18 |
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 $107.15 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $107.15 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $43.65 | $47.86 | $47.86 |
Where Alabama sits
The same service costs 4.1 times more in Alaska than in New York. 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· 30th 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.