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 $912.01 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $912.01 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $125.89 | $151.36 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $776.25 | $851.14 | $851.14 |
BCBS Alabama Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,230.27 Typical High $1,380.38 | Facility | None | $776.25 | $1,230.27 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $891.25 Typical High $1,348.96 | Professional | None (both parts) | $794.33 | $891.25 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $120.23 Typical High $181.97 | Professional | 26 · Professional part | $107.15 | $120.23 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $776.25 Typical High $1,174.90 | Professional | TC · Technical part | $691.83 | $776.25 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $1,479.11 | Facility | None | $1,071.52 | $1,122.02 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $776.25 Median $977.24 Typical High $1,318.26 | Professional | None (both parts) | $776.25 | $977.24 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $100.00 | $128.82 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $851.14 Typical High $1,148.15 | Professional | TC · Technical part | $676.08 | $851.14 | $1,148.15 |
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 $457.09 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $457.09 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $181.97 | $199.53 | $199.53 |
Where Alabama sits
The same service costs 3.2 times more in Alaska than in Utah. 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
$977
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.