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 $407.38 Median $407.38 Typical High $407.38 | Facility | TC · Technical part | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $851.14 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $467.74 | $537.03 | $537.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $407.38 Typical High $407.38 | Professional | TC · Technical part | $371.54 | $407.38 | $407.38 |
BCBS Alabama Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $162.18 Median $288.40 Typical High $512.86 | Professional | 32 · Mandated service | $162.18 | $288.40 | $512.86 |
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 $524.81 Median $616.60 Typical High $891.25 | Professional | None (both parts) | $524.81 | $616.60 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $380.19 Typical High $512.86 | Professional | 26 · Professional part | $323.59 | $380.19 | $512.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $245.47 Typical High $363.08 | Professional | TC · Technical part | $213.80 | $245.47 | $363.08 |
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 $346.74 Median $512.86 Typical High $676.08 | Professional | None (both parts) | $346.74 | $512.86 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $302.00 Typical High $389.05 | Professional | 26 · Professional part | $229.09 | $302.00 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $208.93 Typical High $257.04 | Professional | TC · Technical part | $102.33 | $208.93 | $257.04 |
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 Professional Modifier 52 · Reduced service Typical Low $426.58 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $426.58 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $169.82 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $660.69 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $588.84 | $660.69 | $660.69 |
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
$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.