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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $602.56 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $138.04 | $229.09 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $562.34 | $954.99 | $954.99 |
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 None (both parts) Typical Low $104.71 Median $354.81 Typical High $489.78 | Professional | None (both parts) | $104.71 | $354.81 | $489.78 |
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 $288.40 Median $407.38 Typical High $467.74 | Professional | None (both parts) | $288.40 | $407.38 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $208.93 Typical High $245.47 | Professional | 26 · Professional part | $169.82 | $208.93 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $223.87 | Professional | TC · Technical part | $165.96 | $194.98 | $223.87 |
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 $346.74 Median $537.03 Typical High $758.58 | Professional | None (both parts) | $346.74 | $537.03 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $131.83 Typical High $208.93 | Professional | 26 · Professional part | $107.15 | $131.83 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $398.11 Typical High $588.84 | Professional | TC · Technical part | $181.97 | $398.11 | $588.84 |
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 $309.03 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $309.03 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $123.03 | $204.17 | $204.17 |
Where Alabama sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 41st of 51
$407
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.