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 $30.90 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $30.90 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $15.14 | $16.98 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $17.38 Typical High $17.38 | Professional | TC · Technical part | $16.22 | $17.38 | $17.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.18 Typical High $34.67 | Professional | None (both parts) | $22.91 | $28.18 | $34.67 |
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 $18.62 Median $18.62 Typical High $37.15 | Professional | None (both parts) | $18.62 | $18.62 | $37.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $31.62 | Professional | None (both parts) | $25.70 | $31.62 | $31.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $12.59 | $15.85 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $15.85 Typical High $15.85 | Professional | TC · Technical part | $13.18 | $15.85 | $15.85 |
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 $25.70 Median $28.84 Typical High $47.86 | Professional | None (both parts) | $25.70 | $28.84 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.13 Typical High $20.42 | Professional | 26 · Professional part | $12.59 | $14.13 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $15.14 Typical High $27.54 | Professional | TC · Technical part | $13.18 | $15.14 | $27.54 |
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 $15.49 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $15.49 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $6.17 | $6.92 | $6.92 |
Where Alabama sits
The same service costs 3.4 times more in Alaska than in New York. 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· 38th of 51
$31.62
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.