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 $63.10 Median $63.10 Typical High $1,000.00 | Facility | None | $63.10 | $63.10 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $251.19 Typical High $263.03 | Professional | None (both parts) | $162.18 | $251.19 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $97.72 | $190.55 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $63.10 Typical High $93.33 | Professional | TC · Technical part | $44.67 | $63.10 | $93.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $114.82 Typical High $134.90 | Professional | None (both parts) | $107.15 | $114.82 | $134.90 |
BCBS Alabama Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $41.69 Median $151.36 Typical High $263.03 | Professional | 32 · Mandated service | $41.69 | $151.36 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $758.58 Typical High $1,412.54 | Facility | None | $114.82 | $758.58 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $467.74 | Professional | None (both parts) | $154.88 | $181.97 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $128.82 Typical High $181.97 | Professional | 26 · Professional part | $109.65 | $128.82 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $281.84 | Professional | TC · Technical part | $44.67 | $52.48 | $281.84 |
United Setting Facility Modifier None Typical Low $645.65 Median $660.69 Typical High $891.25 | Facility | None | $645.65 | $660.69 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $165.96 Typical High $407.38 | Professional | None (both parts) | $102.33 | $165.96 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $138.04 | Professional | 26 · Professional part | $81.28 | $107.15 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $32.36 Typical High $316.23 | Professional | TC · Technical part | $19.95 | $32.36 | $316.23 |
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 $112.20 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $112.20 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $44.67 | $50.12 | $50.12 |
Where Alabama sits
The same service costs 5.1 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· 13th of 51
$251
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.