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 None Typical Low $141.25 Median $141.25 Typical High $158.49 | Facility | None | $141.25 | $141.25 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $144.54 | Professional | None | $141.25 | $141.25 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
BCBS Alabama Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
BCBS Alabama Setting Professional Modifier 02 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 34 + 41 + 49 + 52 · Reduced service + 55 · Aftercare only + 92 · Alternate lab platform Typical Low $85.11 Median $85.11 Typical High $109.65 | Professional | 02 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 34 + 41 + 49 + 52 · Reduced service + 55 · Aftercare only + 92 · Alternate lab platform | $85.11 | $85.11 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $120.23 Typical High $457.09 | Facility | None | $114.82 | $120.23 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $93.33 Typical High $141.25 | Professional | None | $64.57 | $93.33 | $141.25 |
United Setting Facility Modifier None Typical Low $51.29 Median $128.82 Typical High $141.25 | Facility | None | $51.29 | $128.82 | $141.25 |
United Setting Professional Modifier None Typical Low $58.88 Median $74.13 Typical High $95.50 | Professional | None | $58.88 | $74.13 | $95.50 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $60.26 Median $70.79 Typical High $151.36 | Professional | QW · Waived lab test | $60.26 | $70.79 | $151.36 |
Where Alabama sits
The same service costs 4.3 times more in Alaska than in Alabama. 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· 51st of 51
$69.18
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.