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 $91.20 Median $169.82 Typical High $169.82 | Facility | None | $91.20 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $104.71 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $26.30 | $45.71 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $77.62 | $123.03 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | None (both parts) | $95.50 | $95.50 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.95 Typical High $31.62 | Professional | 26 · Professional part | $19.05 | $19.95 | $31.62 |
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 $20.42 Median $75.86 Typical High $107.15 | Professional | 12 + 32 · Mandated service | $20.42 | $75.86 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $323.59 Typical High $363.08 | Facility | None | $194.98 | $323.59 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $169.82 Typical High $190.55 | Professional | None (both parts) | $109.65 | $169.82 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $46.77 | Professional | 26 · Professional part | $32.36 | $38.02 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $147.91 | Professional | TC · Technical part | $93.33 | $131.83 | $147.91 |
United Setting Facility Modifier None Typical Low $275.42 Median $288.40 Typical High $380.19 | Facility | None | $275.42 | $288.40 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $77.62 | $100.00 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.30 Typical High $38.02 | Professional | 26 · Professional part | $20.42 | $26.30 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $128.82 | Professional | TC · Technical part | $56.23 | $70.79 | $128.82 |
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 $58.88 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $58.88 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $23.44 | $33.88 | $33.88 |
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· 13th of 51
$170
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.