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 $213.80 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $213.80 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $54.95 | Professional | 26 · Professional part | $45.71 | $48.98 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $165.96 | $190.55 | $190.55 |
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 $41.69 Median $158.49 Typical High $257.04 | Professional | None (both parts) | $41.69 | $158.49 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $229.09 Typical High $338.84 | Professional | None (both parts) | $177.83 | $229.09 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $87.10 | Professional | 26 · Professional part | $46.77 | $61.66 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $263.03 | Professional | TC · Technical part | $131.83 | $169.82 | $263.03 |
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 $158.49 Median $204.17 Typical High $288.40 | Professional | None (both parts) | $158.49 | $204.17 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $67.61 | Professional | 26 · Professional part | $38.90 | $48.98 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $117.49 | $158.49 | $229.09 |
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 $102.33 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $102.33 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $40.74 | $47.86 | $47.86 |
Where Alabama sits
The same service costs 3.0 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· 46th of 51
$200
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.