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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $234.42 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $64.57 | $112.20 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $169.82 | $263.03 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $186.21 | $269.15 | $269.15 |
BCBS Alabama Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
BCBS Alabama Setting Professional Modifier 12 + 32 · Mandated service Typical Low $54.95 Median $162.18 Typical High $269.15 | Professional | 12 + 32 · Mandated service | $54.95 | $162.18 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $741.31 Typical High $831.76 | Facility | None | $416.87 | $741.31 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $323.59 Typical High $398.11 | Professional | None (both parts) | $208.93 | $323.59 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $93.33 Typical High $114.82 | Professional | 26 · Professional part | $64.57 | $93.33 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $234.42 Typical High $288.40 | Professional | TC · Technical part | $144.54 | $234.42 | $288.40 |
United Setting Facility Modifier None Typical Low $630.96 Median $660.69 Typical High $870.96 | Facility | None | $630.96 | $660.69 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $323.59 | Professional | None (both parts) | $181.97 | $213.80 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $91.20 | Professional | 26 · Professional part | $50.12 | $64.57 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $151.36 Typical High $229.09 | Professional | TC · Technical part | $128.82 | $151.36 | $229.09 |
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 $128.82 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $128.82 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $51.29 | $74.13 | $74.13 |
Where Alabama sits
The same service costs 3.5 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· 18th of 51
$324
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.