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 $954.99 Median $1,778.28 Typical High $2,630.27 | Facility | None | $954.99 | $1,778.28 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
BCBS Alabama Setting Facility Modifier None Typical Low $8,912.51 Median $9,120.11 Typical High $9,120.11 | Facility | None | $8,912.51 | $9,120.11 | $9,120.11 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $72.44 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $72.44 | $125.89 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $10,232.93 | Facility | None | $501.19 | $1,000.00 | $10,232.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $354.81 | Professional | None (both parts) | $239.88 | $281.84 | $354.81 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,000.00 Typical High $10,715.19 | Facility | None | $478.63 | $1,000.00 | $10,715.19 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $158.49 | $194.98 | $269.15 |
8 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 26 · Professional part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $120.23 | $125.89 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $169.82 Typical High $218.78 | Professional | 26 · Professional part | $144.54 | $169.82 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $141.25 | Professional | TC · Technical part | $91.20 | $109.65 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $117.49 Typical High $165.96 | Professional | 26 · Professional part | $93.33 | $117.49 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $104.71 | Professional | TC · Technical part | $61.66 | $77.62 | $104.71 |
Where Alabama sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 50th of 51
$191
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.