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 $363.08 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $363.08 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $331.13 Typical High $331.13 | Professional | TC · Technical part | $309.03 | $331.13 | $331.13 |
BCBS Alabama Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $23.99 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $23.99 | $234.42 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $1,412.54 | Facility | None | $588.84 | $588.84 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $1,096.48 | Professional | None (both parts) | $363.08 | $363.08 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $114.82 | Professional | 26 · Professional part | $38.02 | $38.02 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $977.24 | Professional | TC · Technical part | $323.59 | $323.59 | $977.24 |
United Setting Facility Modifier None Typical Low $630.96 Median $660.69 Typical High $870.96 | Facility | None | $630.96 | $660.69 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $309.03 Typical High $562.34 | Professional | None (both parts) | $173.78 | $309.03 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $32.36 Typical High $58.88 | Professional | 26 · Professional part | $23.99 | $32.36 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $281.84 Typical High $512.86 | Professional | TC · Technical part | $144.54 | $281.84 | $512.86 |
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 Facility Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $75.86 | $75.86 | $75.86 |
Where Alabama sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 42nd of 51
$316
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.