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 $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
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 $30.90 Median $51.29 Typical High $97.72 | Professional | None (both parts) | $30.90 | $51.29 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,621.81 Typical High $1,819.70 | Facility | None | $812.83 | $1,621.81 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $107.15 | Professional | None (both parts) | $74.13 | $93.33 | $107.15 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,000.00 Typical High $5,495.41 | Facility | None | $478.63 | $1,000.00 | $5,495.41 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $60.26 Typical High $91.20 | Professional | None (both parts) | $40.74 | $60.26 | $91.20 |
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 $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | TC · Technical part | $15.49 | $15.49 | $15.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $87.10 | Professional | 26 · Professional part | $58.88 | $75.86 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $18.20 Typical High $20.89 | Professional | TC · Technical part | $14.79 | $18.20 | $20.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $74.13 | Professional | 26 · Professional part | $29.51 | $41.69 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $13.49 Typical High $18.62 | Professional | TC · Technical part | $11.22 | $13.49 | $18.62 |
Where Alabama sits
The same service costs 51.3 times more in Oklahoma 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· 36th of 51
$74.13
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.