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 $30.20 Median $30.20 Typical High $31.62 | Facility | TC · Technical part | $30.20 | $30.20 | $31.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $28.18 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $7.76 | $12.88 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $30.20 Typical High $30.20 | Professional | TC · Technical part | $20.42 | $30.20 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $30.90 | Professional | None (both parts) | $23.99 | $23.99 | $30.90 |
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 $5.89 Median $22.91 Typical High $39.81 | Professional | None (both parts) | $5.89 | $22.91 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.02 Typical High $48.98 | Professional | None (both parts) | $30.20 | $38.02 | $48.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.72 Typical High $13.49 | Professional | 26 · Professional part | $7.94 | $10.72 | $13.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.92 Typical High $37.15 | Professional | TC · Technical part | $22.91 | $26.92 | $37.15 |
United Setting Professional Modifier None (both parts) Typical Low $20.89 Median $26.92 Typical High $53.70 | Professional | None (both parts) | $20.89 | $26.92 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.59 Typical High $10.96 | Professional | 26 · Professional part | $5.89 | $7.59 | $10.96 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $19.50 Typical High $42.66 | Professional | TC · Technical part | $14.79 | $19.50 | $42.66 |
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 $15.49 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $15.49 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $6.17 | $8.51 | $8.51 |
Where Alabama sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 40th of 51
$31.62
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.