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 None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $79.43 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $40.74 | $67.61 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $39.81 | $69.18 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $77.62 | Professional | None (both parts) | $66.07 | $66.07 | $77.62 |
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 $33.11 Median $44.67 Typical High $87.10 | Professional | None (both parts) | $33.11 | $44.67 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $50.12 Typical High $56.23 | Facility | None | $31.62 | $50.12 | $56.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $83.18 Typical High $95.50 | Professional | None (both parts) | $64.57 | $83.18 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $56.23 Typical High $60.26 | Professional | 26 · Professional part | $41.69 | $56.23 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.30 Typical High $34.67 | Professional | TC · Technical part | $21.88 | $26.30 | $34.67 |
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 $54.95 Median $67.61 Typical High $83.18 | Professional | None (both parts) | $54.95 | $67.61 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.02 Typical High $50.12 | Professional | 26 · Professional part | $29.51 | $38.02 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $33.88 | Professional | TC · Technical part | $20.89 | $27.54 | $33.88 |
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 $69.18 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
Where Alabama sits
The same service costs 3.4 times more in Alaska 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· 48th of 51
$64.57
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.