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 $60.26 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $60.26 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $35.48 | $39.81 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.92 Typical High $26.92 | Professional | TC · Technical part | $24.55 | $26.92 | $26.92 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $58.88 Typical High $81.28 | Professional | None (both parts) | $56.23 | $58.88 | $81.28 |
BCBS Alabama Setting Facility Modifier None Typical Low $104.71 Median $107.15 Typical High $107.15 | Facility | None | $104.71 | $107.15 | $107.15 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $23.99 Median $37.15 Typical High $61.66 | Professional | None (both parts) | $23.99 | $37.15 | $61.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $47.86 | $60.26 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $29.51 | $37.15 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.44 Typical High $23.44 | Professional | TC · Technical part | $18.20 | $23.44 | $23.44 |
United Setting Facility Modifier None Typical Low $69.18 Median $70.79 Typical High $95.50 | Facility | None | $69.18 | $70.79 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $54.95 Typical High $63.10 | Professional | None (both parts) | $45.71 | $54.95 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $38.90 | Professional | 26 · Professional part | $27.54 | $33.11 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $20.89 Typical High $24.55 | Professional | TC · Technical part | $15.49 | $20.89 | $24.55 |
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 $30.20 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $30.20 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $12.02 | $13.18 | $13.18 |
Where Alabama sits
The same service costs 3.7 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· 30th of 51
$60.26
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.