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 $645.65 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $645.65 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $354.81 Typical High $354.81 | Professional | 26 · Professional part | $309.03 | $354.81 | $354.81 |
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 $141.25 Median $194.98 Typical High $389.05 | Professional | 32 · Mandated service | $141.25 | $194.98 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $758.58 Typical High $1,412.54 | Facility | None | $512.86 | $758.58 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $446.68 Typical High $660.69 | Professional | None (both parts) | $380.19 | $446.68 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $234.42 Typical High $346.74 | Professional | 26 · Professional part | $199.53 | $234.42 | $346.74 |
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 $229.09 Median $380.19 Typical High $512.86 | Professional | None (both parts) | $229.09 | $380.19 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $199.53 Typical High $257.04 | Professional | 26 · Professional part | $151.36 | $199.53 | $257.04 |
5 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 TC · Technical part Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | TC · Technical part | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $128.82 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $501.19 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $446.68 | $501.19 | $501.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $208.93 Typical High $316.23 | Professional | TC · Technical part | $186.21 | $208.93 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $181.97 Typical High $223.87 | Professional | TC · Technical part | $72.44 | $181.97 | $223.87 |
Where Alabama sits
The same service costs 5.6 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· 9th 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.