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 $144.54 Median $144.54 Typical High $154.88 | Facility | TC · Technical part | $144.54 | $144.54 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $204.17 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $97.72 | $158.49 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $102.33 | $144.54 | $144.54 |
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 $72.44 Median $251.19 Typical High $346.74 | Professional | None (both parts) | $72.44 | $251.19 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $302.00 Typical High $331.13 | Professional | None (both parts) | $204.17 | $302.00 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $154.88 Typical High $169.82 | Professional | 26 · Professional part | $112.20 | $154.88 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $144.54 Typical High $162.18 | Professional | TC · Technical part | $107.15 | $144.54 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $263.03 Typical High $363.08 | Professional | None (both parts) | $204.17 | $263.03 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $93.33 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $165.96 Typical High $229.09 | Professional | TC · Technical part | $131.83 | $165.96 | $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 $102.33 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $102.33 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $41.69 | $60.26 | $60.26 |
Where Alabama sits
The same service costs 3.1 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· 21st of 51
$275
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.