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 $85.11 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $85.11 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $48.98 | $64.57 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $40.74 | $57.54 | $57.54 |
BCBS Alabama Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $66.07 | Professional | None (both parts) | $25.12 | $34.67 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $97.72 | Professional | None (both parts) | $72.44 | $87.10 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $63.10 | Professional | 26 · Professional part | $47.86 | $56.23 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $29.51 Typical High $37.15 | Professional | TC · Technical part | $25.12 | $29.51 | $37.15 |
United Setting Facility Modifier None Typical Low $43.65 Median $44.67 Typical High $60.26 | Facility | None | $43.65 | $44.67 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $63.10 Typical High $83.18 | Professional | None (both parts) | $51.29 | $63.10 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $37.15 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.70 Typical High $30.20 | Professional | TC · Technical part | $21.88 | $25.70 | $30.20 |
3 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 Facility Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $12.30 | Facility | 53 · Discontinued | $11.48 | $11.48 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $24.55 | $24.55 | $24.55 |
Where Alabama sits
The same service costs 3.3 times more in Alaska 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
$56.23
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.