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 $269.15 Median $269.15 Typical High $269.15 | Facility | TC · Technical part | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $269.15 | $269.15 | $269.15 |
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 $18.62 Median $186.21 Typical High $257.04 | Professional | None (both parts) | $18.62 | $186.21 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $3,388.44 | Facility | None | $478.63 | $478.63 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $354.81 Typical High $1,071.52 | Professional | None (both parts) | $331.13 | $354.81 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $102.33 | Professional | 26 · Professional part | $31.62 | $33.88 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $323.59 Typical High $954.99 | Professional | TC · Technical part | $295.12 | $323.59 | $954.99 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,548.82 Typical High $2,089.30 | Facility | None | $1,513.56 | $1,548.82 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $257.04 Typical High $549.54 | Professional | None (both parts) | $158.49 | $257.04 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.70 Typical High $52.48 | Professional | 26 · Professional part | $19.05 | $25.70 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $229.09 Typical High $501.19 | Professional | TC · Technical part | $131.83 | $229.09 | $501.19 |
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 $151.36 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $60.26 | $60.26 | $60.26 |
Where Alabama sits
The same service costs 4.3 times more in Alaska than in Texas. 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· 47th of 51
$257
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.