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 $144.54 Median $144.54 Typical High $158.49 | Facility | None | $144.54 | $144.54 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $120.23 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $47.86 | Professional | 26 · Professional part | $40.74 | $44.67 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $83.18 | $114.82 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $194.98 | Professional | None (both parts) | $134.90 | $134.90 | $194.98 |
BCBS Alabama Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $47.86 Median $112.20 Typical High $173.78 | Professional | None (both parts) | $47.86 | $112.20 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $199.53 | Professional | None (both parts) | $93.33 | $100.00 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $67.61 | Professional | 26 · Professional part | $38.90 | $45.71 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $56.23 Typical High $131.83 | Professional | TC · Technical part | $50.12 | $56.23 | $131.83 |
United Setting Facility Modifier None Typical Low $251.19 Median $263.03 Typical High $346.74 | Facility | None | $251.19 | $263.03 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $104.71 Typical High $151.36 | Professional | None (both parts) | $81.28 | $104.71 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $51.29 | Professional | 26 · Professional part | $33.11 | $42.66 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $61.66 Typical High $97.72 | Professional | TC · Technical part | $46.77 | $61.66 | $97.72 |
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 $58.88 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $58.88 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $23.99 | $32.36 | $32.36 |
Where Alabama sits
The same service costs 3.2 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· 44th of 51
$123
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.