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 Facility Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $104.71 | Facility | TC · Technical part | $100.00 | $100.00 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $100.00 | $100.00 | $100.00 |
BCBS Alabama Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $36.31 Median $50.12 Typical High $100.00 | Professional | None (both parts) | $36.31 | $50.12 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $537.03 Typical High $602.56 | Facility | None | $295.12 | $537.03 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $173.78 | Professional | None (both parts) | $134.90 | $158.49 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $95.50 | Professional | 26 · Professional part | $70.79 | $83.18 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $81.28 | Professional | TC · Technical part | $61.66 | $74.13 | $81.28 |
United Setting Facility Modifier None Typical Low $524.81 Median $537.03 Typical High $724.44 | Facility | None | $524.81 | $537.03 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $104.71 Typical High $154.88 | Professional | None (both parts) | $87.10 | $104.71 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $56.23 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $70.79 | Professional | TC · Technical part | $39.81 | $46.77 | $70.79 |
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 $100.00 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $39.81 | $39.81 | $39.81 |
Where Alabama sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 48th of 51
$100
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.