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 $338.84 Median $338.84 Typical High $338.84 | Facility | TC · Technical part | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $338.84 | $338.84 | $338.84 |
BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
BCBS Setting Professional Modifier 12 + 32 · Mandated service Typical Low $21.88 Median $234.42 Typical High $316.23 | Professional | 12 + 32 · Mandated service | $21.88 | $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 $34.67 Median $34.67 Typical High $104.71 | Professional | 26 · Professional part | $34.67 | $34.67 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $331.13 Typical High $1,000.00 | Professional | TC · Technical part | $309.03 | $331.13 | $1,000.00 |
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 $100.00 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $100.00 | $302.00 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $29.51 Typical High $53.70 | Professional | 26 · Professional part | $21.88 | $29.51 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $269.15 Typical High $512.86 | Professional | TC · Technical part | $72.44 | $269.15 | $512.86 |
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 $190.55 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $190.55 | $190.55 | $190.55 |
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 4.9 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· 10th of 51
$562
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.