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 $851.14 Median $1,584.89 Typical High $1,584.89 | Professional | None (both parts) | $851.14 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $812.83 Typical High $812.83 | Professional | 26 · Professional part | $489.78 | $812.83 | $812.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $380.19 | $758.58 | $758.58 |
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 $457.09 Median $776.25 Typical High $1,698.24 | Professional | 32 · Mandated service | $457.09 | $776.25 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $912.01 Typical High $1,698.24 | Facility | None | $691.83 | $912.01 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,023.29 Typical High $1,412.54 | Professional | None (both parts) | $870.96 | $1,023.29 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $691.83 Typical High $933.25 | Professional | 26 · Professional part | $588.84 | $691.83 | $933.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $316.23 Typical High $602.56 | Professional | TC · Technical part | $309.03 | $316.23 | $602.56 |
United Setting Facility Modifier None Typical Low $812.83 Median $831.76 Typical High $1,122.02 | Facility | None | $812.83 | $831.76 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $616.60 Median $812.83 Typical High $1,096.48 | Professional | None (both parts) | $616.60 | $812.83 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $467.74 Typical High $676.08 | Professional | 26 · Professional part | $354.81 | $467.74 | $676.08 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $346.74 Typical High $457.09 | Professional | TC · Technical part | $147.91 | $346.74 | $457.09 |
4 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 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 53 · Discontinued | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $707.95 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $316.23 Typical High $316.23 | Professional | 53 · Discontinued | $281.84 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,096.48 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $977.24 | $1,096.48 | $1,096.48 |
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· 22nd of 51
$1,148
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.