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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $25.70 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $5.62 Typical High $5.62 | Professional | 26 · Professional part | $3.39 | $5.62 | $5.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $33.11 Typical High $33.11 | Professional | TC · Technical part | $22.39 | $33.11 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $15.85 Median $21.88 Typical High $28.84 | Professional | None (both parts) | $15.85 | $21.88 | $28.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $2.75 Median $2.75 Typical High $4.90 | Professional | 26 · Professional part | $2.75 | $2.75 | $4.90 |
BCBS Alabama Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $2.57 Median $23.99 Typical High $48.98 | Professional | None (both parts) | $2.57 | $23.99 | $48.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $35.48 Typical High $72.44 | Professional | None (both parts) | $26.92 | $35.48 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.89 Median $5.01 Typical High $6.03 | Professional | 26 · Professional part | $3.89 | $5.01 | $6.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $69.18 | Professional | TC · Technical part | $25.70 | $30.20 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $19.50 Median $25.12 Typical High $112.20 | Professional | None (both parts) | $19.50 | $25.12 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.57 Median $3.24 Typical High $5.25 | Professional | 26 · Professional part | $2.57 | $3.24 | $5.25 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $107.15 | Professional | TC · Technical part | $16.60 | $21.88 | $107.15 |
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 $14.13 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $14.13 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $5.62 | $7.76 | $7.76 |
Where Alabama sits
The same service costs 2.9 times more in Kansas 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· 30th of 51
$35.48
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.