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 $50.12 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $50.12 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.33 Typical High $9.33 | Professional | 26 · Professional part | $8.32 | $9.33 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $41.69 | $45.71 | $45.71 |
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 $8.91 Median $41.69 Typical High $50.12 | Professional | None (both parts) | $8.91 | $41.69 | $50.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $41.69 | $50.12 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.12 Typical High $9.12 | Professional | 26 · Professional part | $7.08 | $9.12 | $9.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $34.67 | $41.69 | $41.69 |
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 $42.66 Typical High $51.29 | Professional | None (both parts) | $36.31 | $42.66 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.94 Typical High $9.77 | Professional | 26 · Professional part | $6.76 | $7.94 | $9.77 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $35.48 Typical High $42.66 | Professional | TC · Technical part | $26.92 | $35.48 | $42.66 |
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 $25.12 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $25.12 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $10.00 | $10.96 | $10.96 |
Where Alabama sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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· 28th of 51
$50.12
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.