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 TC · Technical part Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | TC · Technical part | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $977.24 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $104.71 | $120.23 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $977.24 Typical High $977.24 | Professional | TC · Technical part | $870.96 | $977.24 | $977.24 |
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 $50.12 Median $512.86 Typical High $707.95 | Professional | 32 · Mandated service | $50.12 | $512.86 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $758.58 Typical High $1,778.28 | Facility | None | $724.44 | $758.58 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,148.15 Typical High $1,318.26 | Professional | None (both parts) | $741.31 | $1,148.15 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $128.82 | Professional | 26 · Professional part | $79.43 | $93.33 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $1,047.13 Typical High $1,202.26 | Professional | TC · Technical part | $645.65 | $1,047.13 | $1,202.26 |
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 $154.88 Median $616.60 Typical High $1,071.52 | Professional | None (both parts) | $154.88 | $616.60 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $67.61 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $549.54 Typical High $977.24 | Professional | TC · Technical part | $87.10 | $549.54 | $977.24 |
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 $489.78 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $489.78 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $194.98 | $218.78 | $218.78 |
Where Alabama sits
The same service costs 5.1 times more in Alaska than in Texas. 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· 41st of 51
$708
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.