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 Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $53.70 | $53.70 | $53.70 |
BCBS Alabama Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
BCBS Alabama Setting Professional Modifier None (both parts) Typical Low $41.69 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $41.69 | $229.09 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $407.38 Typical High $457.09 | Facility | None | $234.42 | $407.38 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $398.11 Typical High $446.68 | Professional | None (both parts) | $309.03 | $398.11 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $354.81 Typical High $354.81 | Professional | 26 · Professional part | $147.91 | $354.81 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.02 Typical High $51.29 | Professional | TC · Technical part | $32.36 | $38.02 | $51.29 |
United Setting Facility Modifier None Typical Low $354.81 Median $371.54 Typical High $489.78 | Facility | None | $354.81 | $371.54 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $218.78 | $275.42 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $239.88 Typical High $316.23 | Professional | 26 · Professional part | $190.55 | $239.88 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $34.67 Typical High $144.54 | Professional | TC · Technical part | $29.51 | $34.67 | $144.54 |
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 $173.78 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $69.18 | $69.18 | $69.18 |
Where Alabama sits
The same service costs 3.3 times more in Minnesota than in Utah. 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
$269
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.