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 $870.96 Median $870.96 Typical High $870.96 | Facility | TC · Technical part | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $933.25 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $117.49 | $141.25 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $870.96 Typical High $870.96 | Professional | TC · Technical part | $794.33 | $870.96 | $870.96 |
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 21 + 22 · Increased work Typical Low $60.26 Median $436.52 Typical High $602.56 | Professional | 21 + 22 · Increased work | $60.26 | $436.52 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $758.58 Typical High $1,621.81 | Facility | None | $724.44 | $758.58 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $524.81 Typical High $912.01 | Professional | None (both parts) | $446.68 | $524.81 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $141.25 | Professional | 26 · Professional part | $87.10 | $102.33 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $416.87 Typical High $741.31 | Professional | TC · Technical part | $323.59 | $416.87 | $741.31 |
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 $501.19 Typical High $691.83 | Professional | None (both parts) | $154.88 | $501.19 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $107.15 | Professional | 26 · Professional part | $64.57 | $83.18 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $416.87 Typical High $588.84 | Professional | TC · Technical part | $87.10 | $416.87 | $588.84 |
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 $457.09 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $457.09 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $186.21 | $204.17 | $204.17 |
Where Alabama sits
The same service costs 6.0 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· 27th 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.