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 $43.65 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $43.65 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $19.95 | $21.88 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $24.55 | $26.30 | $26.30 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $54.95 | Professional | None (both parts) | $40.74 | $40.74 | $54.95 |
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 $21.38 Median $23.99 Typical High $45.71 | Professional | None (both parts) | $21.38 | $23.99 | $45.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $36.31 | $44.67 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $16.98 | $20.89 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.44 Typical High $23.44 | Professional | TC · Technical part | $19.50 | $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 $36.31 Median $40.74 Typical High $61.66 | Professional | None (both parts) | $36.31 | $40.74 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $18.62 Typical High $25.12 | Professional | 26 · Professional part | $16.60 | $18.62 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.39 Typical High $36.31 | Professional | TC · Technical part | $19.95 | $22.39 | $36.31 |
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 $21.88 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $21.88 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $8.71 | $9.55 | $9.55 |
Where Alabama sits
The same service costs 3.4 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· 41st of 51
$44.67
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.