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 $776.25 Median $1,258.93 Typical High $2,630.27 | Facility | None | $776.25 | $1,258.93 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
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 $57.54 Median $100.00 Typical High $204.17 | Professional | None (both parts) | $57.54 | $100.00 | $204.17 |
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 $194.98 Median $229.09 Typical High $288.40 | Professional | None (both parts) | $194.98 | $229.09 | $288.40 |
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 $125.89 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $125.89 | $162.18 | $223.87 |
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 $134.90 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $70.79 | $72.44 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $169.82 Typical High $213.80 | Professional | 26 · Professional part | $141.25 | $169.82 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $79.43 | Professional | TC · Technical part | $52.48 | $61.66 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $114.82 Typical High $162.18 | Professional | 26 · Professional part | $91.20 | $114.82 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $43.65 Typical High $60.26 | Professional | TC · Technical part | $34.67 | $43.65 | $60.26 |
Where Alabama sits
The same service costs 8.3 times more in Louisiana 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
$162
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.