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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $134.90 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $24.55 | $28.84 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $107.15 | $114.82 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $17.38 | $17.38 | $17.38 |
BCBS Alabama Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
BCBS Alabama Setting Professional Modifier 12 + 32 · Mandated service Typical Low $19.05 Median $87.10 Typical High $120.23 | Professional | 12 + 32 · Mandated service | $19.05 | $87.10 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $158.49 Typical High $2,137.96 | Facility | None | $131.83 | $158.49 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $190.55 | Professional | None (both parts) | $97.72 | $117.49 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.99 Typical High $35.48 | Professional | 26 · Professional part | $17.38 | $23.99 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $165.96 | Professional | TC · Technical part | $81.28 | $93.33 | $165.96 |
United Setting Facility Modifier None Typical Low $120.23 Median $125.89 Typical High $165.96 | Facility | None | $120.23 | $125.89 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $100.00 | $125.89 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.44 Typical High $32.36 | Professional | 26 · Professional part | $19.50 | $23.44 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $158.49 | Professional | TC · Technical part | $79.43 | $102.33 | $158.49 |
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 $67.61 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $67.61 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $26.92 | $28.84 | $28.84 |
Where Alabama sits
The same service costs 3.3 times more in Alaska 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· 36th of 51
$145
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.