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 $17.38 Median $20.89 Typical High $20.89 | Professional | None (both parts) | $17.38 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $13.49 | $16.60 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $4.07 Typical High $4.07 | Professional | TC · Technical part | $3.39 | $4.07 | $4.07 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None (both parts) | $13.80 | $13.80 | $13.80 |
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 $3.24 Median $12.59 Typical High $15.85 | Professional | None (both parts) | $3.24 | $12.59 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $416.87 Typical High $467.74 | Facility | None | $120.23 | $416.87 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $16.60 Typical High $29.51 | Professional | None (both parts) | $16.60 | $16.60 | $29.51 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.14 Typical High $17.78 | Professional | 26 · Professional part | $12.88 | $15.14 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1.41 Median $1.41 Typical High $11.48 | Professional | TC · Technical part | $1.41 | $1.41 | $11.48 |
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 $12.59 Median $14.45 Typical High $38.02 | Professional | None (both parts) | $12.59 | $14.45 | $38.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.75 Typical High $13.49 | Professional | 26 · Professional part | $10.23 | $11.75 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $2.29 Median $2.75 Typical High $24.55 | Professional | TC · Technical part | $2.29 | $2.75 | $24.55 |
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 $8.71 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $8.71 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $3.47 | $4.17 | $4.17 |
Where Alabama sits
The same service costs 2.6 times more in California 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· 46th of 51
$15.85
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.