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 $724.44 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $724.44 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $302.00 | $309.03 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $416.87 | $426.58 | $426.58 |
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 $194.98 Median $363.08 Typical High $645.65 | Professional | None (both parts) | $194.98 | $363.08 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $562.34 | $676.08 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $275.42 Typical High $309.03 | Professional | 26 · Professional part | $234.42 | $275.42 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $398.11 Typical High $436.52 | Professional | TC · Technical part | $338.84 | $398.11 | $436.52 |
United Setting Facility Modifier None Typical Low $251.19 Median $977.24 Typical High $2,511.89 | Facility | None | $251.19 | $977.24 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $446.68 Typical High $660.69 | Professional | None (both parts) | $371.54 | $446.68 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $173.78 Typical High $269.15 | Professional | 26 · Professional part | $141.25 | $173.78 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $263.03 Typical High $389.05 | Professional | TC · Technical part | $223.87 | $263.03 | $389.05 |
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 $371.54 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $147.91 | $147.91 | $147.91 |
Where Alabama sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. 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· 46th of 51
$437
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.