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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | TC · Technical part | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,737.80 Typical High $1,737.80 | Professional | None (both parts) | $1,548.82 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $147.91 | $169.82 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,548.82 Typical High $1,548.82 | Professional | TC · Technical part | $1,380.38 | $1,548.82 | $1,548.82 |
BCBS Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
BCBS Setting Professional Modifier 32 · Mandated service Typical Low $70.79 Median $741.31 Typical High $1,023.29 | Professional | 32 · Mandated service | $70.79 | $741.31 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $758.58 Typical High $2,818.38 | Facility | None | $724.44 | $758.58 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,122.02 Typical High $1,737.80 | Professional | None (both parts) | $954.99 | $1,122.02 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $128.82 Typical High $173.78 | Professional | 26 · Professional part | $109.65 | $128.82 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,000.00 Typical High $1,548.82 | Professional | TC · Technical part | $851.14 | $1,000.00 | $1,548.82 |
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 $204.17 Median $954.99 Typical High $1,202.26 | Professional | None (both parts) | $204.17 | $954.99 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $95.50 Typical High $134.90 | Professional | 26 · Professional part | $74.13 | $95.50 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $851.14 Typical High $1,096.48 | Professional | TC · Technical part | $117.49 | $851.14 | $1,096.48 |
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 $776.25 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $776.25 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $309.03 | $346.74 | $346.74 |
Where Alabama sits
The same service costs 5.5 times more in Alaska than in Indiana. 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· 45th of 51
$955
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.