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 $63.10 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $63.10 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $43.65 | $56.23 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $23.44 | Professional | TC · Technical part | $19.05 | $23.44 | $23.44 |
BCBS Alabama Setting Facility Modifier None Typical Low $208.93 Median $213.80 Typical High $213.80 | Facility | None | $208.93 | $213.80 | $213.80 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $18.20 Median $42.66 Typical High $60.26 | Professional | None (both parts) | $18.20 | $42.66 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $173.78 Typical High $194.98 | Facility | None | $107.15 | $173.78 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $72.44 Typical High $93.33 | Professional | None (both parts) | $61.66 | $72.44 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $67.61 | Professional | 26 · Professional part | $44.67 | $52.48 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $19.50 Typical High $25.12 | Professional | TC · Technical part | $18.62 | $19.50 | $25.12 |
United Setting Facility Modifier None Typical Low $154.88 Median $162.18 Typical High $213.80 | Facility | None | $154.88 | $162.18 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $64.57 Typical High $97.72 | Professional | None (both parts) | $48.98 | $64.57 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $34.67 | $45.71 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $17.78 Typical High $26.92 | Professional | TC · Technical part | $14.13 | $17.78 | $26.92 |
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 $31.62 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $31.62 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $12.59 | $15.85 | $15.85 |
Where Alabama sits
The same service costs 3.9 times more in Alaska 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· 50th of 51
$52.48
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.