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 $32.36 Median $32.36 Typical High $34.67 | Facility | TC · Technical part | $32.36 | $32.36 | $34.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | TC · Technical part | $32.36 | $32.36 | $32.36 |
BCBS Alabama Setting Facility Modifier None Typical Low $38.02 Median $38.90 Typical High $38.90 | Facility | None | $38.02 | $38.90 | $38.90 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $12.02 Median $16.60 Typical High $28.84 | Professional | None (both parts) | $12.02 | $16.60 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $79.43 Typical High $89.13 | Facility | None | $47.86 | $79.43 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $41.69 Typical High $54.95 | Professional | None (both parts) | $35.48 | $41.69 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.20 Typical High $20.42 | Professional | 26 · Professional part | $15.14 | $18.20 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.99 Typical High $30.90 | Professional | TC · Technical part | $20.42 | $23.99 | $30.90 |
United Setting Facility Modifier None Typical Low $69.18 Median $70.79 Typical High $95.50 | Facility | None | $69.18 | $70.79 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.18 Typical High $57.54 | Professional | None (both parts) | $23.44 | $28.18 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $17.78 | Professional | 26 · Professional part | $9.77 | $12.59 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $15.85 Typical High $43.65 | Professional | TC · Technical part | $13.18 | $15.85 | $43.65 |
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 $27.54 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $10.96 | $10.96 | $10.96 |
Where Alabama sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 51st of 51
$28.18
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.