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 $457.09 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $457.09 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $67.61 | $125.89 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $389.05 | $758.58 | $758.58 |
BCBS Alabama Setting Facility Modifier None Typical Low $263.03 Median $269.15 Typical High $269.15 | Facility | None | $263.03 | $269.15 | $269.15 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $48.98 Median $346.74 Typical High $501.19 | Professional | 32 · Mandated service | $48.98 | $346.74 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $346.74 Typical High $1,380.38 | Facility | None | $331.13 | $346.74 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $457.09 Typical High $707.95 | Professional | None (both parts) | $407.38 | $457.09 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $128.82 | Professional | 26 · Professional part | $81.28 | $95.50 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $354.81 Typical High $588.84 | Professional | TC · Technical part | $323.59 | $354.81 | $588.84 |
United Setting Facility Modifier None Typical Low $446.68 Median $467.74 Typical High $616.60 | Facility | None | $446.68 | $467.74 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $407.38 Typical High $537.03 | Professional | None (both parts) | $151.36 | $407.38 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $100.00 | Professional | 26 · Professional part | $54.95 | $69.18 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $338.84 Typical High $457.09 | Professional | TC · Technical part | $87.10 | $338.84 | $457.09 |
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 $151.36 Median $151.36 Typical High $151.36 | Facility | 53 · Discontinued | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $398.11 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $398.11 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $158.49 | $177.83 | $177.83 |
Where Alabama sits
The same service costs 6.3 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· 46th of 51
$417
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.