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 $18.62 Median $21.88 Typical High $21.88 | Professional | None (both parts) | $18.62 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $14.79 | $18.20 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.55 Median $4.07 Typical High $4.07 | Professional | TC · Technical part | $3.55 | $4.07 | $4.07 |
BCBS Alabama Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $3.39 Median $14.13 Typical High $17.78 | Professional | None (both parts) | $3.39 | $14.13 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $208.93 Typical High $234.42 | Facility | None | $117.49 | $208.93 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $33.88 | Professional | None (both parts) | $17.78 | $17.78 | $33.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.60 Typical High $20.42 | Professional | 26 · Professional part | $13.80 | $16.60 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1.41 Median $1.41 Typical High $13.49 | Professional | TC · Technical part | $1.41 | $1.41 | $13.49 |
United Setting Facility Modifier None Typical Low $147.91 Median $154.88 Typical High $204.17 | Facility | None | $147.91 | $154.88 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $13.49 Median $15.49 Typical High $42.66 | Professional | None (both parts) | $13.49 | $15.49 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.59 Typical High $15.14 | Professional | 26 · Professional part | $11.22 | $12.59 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $2.29 Median $2.75 Typical High $27.54 | Professional | TC · Technical part | $2.29 | $2.75 | $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 $9.33 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $9.33 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $3.72 | $4.47 | $4.47 |
Where Alabama sits
The same service costs 2.5 times more in California than in Texas. 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
$17.78
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.