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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $138.04 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $30.90 | $44.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $109.65 | $125.89 | $125.89 |
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 $29.51 Median $100.00 Typical High $138.04 | Professional | 12 + 32 · Mandated service | $29.51 | $100.00 | $138.04 |
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 $134.90 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $134.90 | $134.90 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $40.74 | Professional | 26 · Professional part | $24.55 | $24.55 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $208.93 | Professional | TC · Technical part | $109.65 | $109.65 | $208.93 |
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 $123.03 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $123.03 | $158.49 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $38.02 | Professional | 26 · Professional part | $20.89 | $26.92 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $199.53 | Professional | TC · Technical part | $104.71 | $131.83 | $199.53 |
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 $70.79 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $70.79 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $28.18 | $33.88 | $33.88 |
Where Alabama sits
The same service costs 3.5 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· 41st of 51
$162
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.