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 $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $263.03 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $48.98 | $56.23 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $218.78 | $245.47 | $245.47 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
BCBS Alabama Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
BCBS Alabama Setting Professional Modifier 12 + 32 · Mandated service Typical Low $37.15 Median $186.21 Typical High $257.04 | Professional | 12 + 32 · Mandated service | $37.15 | $186.21 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $346.74 Typical High $2,137.96 | Facility | None | $302.00 | $346.74 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $263.03 Typical High $407.38 | Professional | None (both parts) | $245.47 | $263.03 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $67.61 | Professional | 26 · Professional part | $41.69 | $44.67 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $213.80 Typical High $346.74 | Professional | TC · Technical part | $204.17 | $213.80 | $346.74 |
United Setting Facility Modifier None Typical Low $275.42 Median $288.40 Typical High $380.19 | Facility | None | $275.42 | $288.40 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $371.54 | Professional | None (both parts) | $208.93 | $263.03 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $46.77 Typical High $61.66 | Professional | 26 · Professional part | $37.15 | $46.77 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $223.87 Typical High $309.03 | Professional | TC · Technical part | $173.78 | $223.87 | $309.03 |
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 $138.04 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $138.04 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $56.23 | $60.26 | $60.26 |
Where Alabama sits
The same service costs 3.0 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· 43rd of 51
$275
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.