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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $36.31 Typical High $38.02 | Professional | None (both parts) | $32.36 | $36.31 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.88 Typical High $13.80 | Professional | 26 · Professional part | $11.48 | $12.88 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $22.91 Typical High $23.99 | Professional | TC · Technical part | $20.89 | $22.91 | $23.99 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.90 | Professional | None (both parts) | $30.20 | $30.20 | $30.90 |
BCBS Alabama Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $12.02 Median $23.44 Typical High $37.15 | Professional | 32 · Mandated service | $12.02 | $23.44 | $37.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $28.18 | $33.11 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.13 Typical High $21.38 | Professional | 26 · Professional part | $10.72 | $14.13 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.05 Typical High $35.48 | Professional | TC · Technical part | $16.60 | $19.05 | $35.48 |
United Setting Facility Modifier None Typical Low $147.91 Median $154.88 Typical High $204.17 | Facility | None | $147.91 | $154.88 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $36.31 Typical High $47.86 | Professional | None (both parts) | $28.18 | $36.31 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.45 Typical High $19.50 | Professional | 26 · Professional part | $10.72 | $14.45 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $29.51 | Professional | TC · Technical part | $17.78 | $20.89 | $29.51 |
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 $15.85 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $15.85 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $6.46 | $7.24 | $7.24 |
Where Alabama sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 39th of 51
$36.31
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.