How much rates vary
Facilitymedian $162 · 10th to 90th $162 to $170Professionalmedian $81 · 10th to 90th $60 to $120
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 $72.44 Median $95.50 Typical High $112.20 | Facility | None | $72.44 | $95.50 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $95.50 Typical High $97.72 | Professional | None (both parts) | $87.10 | $95.50 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $12.59 | $14.45 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $81.28 Typical High $83.18 | Professional | TC · Technical part | $74.13 | $81.28 | $83.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $58.88 Typical High $77.62 | Professional | None (both parts) | $50.12 | $58.88 | $77.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $12.59 | Professional | 26 · Professional part | $8.71 | $8.71 | $12.59 |
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 $12.88 Median $74.13 Typical High $120.23 | Professional | 12 + 32 · Mandated service | $12.88 | $74.13 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $169.82 Typical High $2,137.96 | Facility | None | $141.25 | $169.82 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $81.28 Typical High $128.82 | Professional | None (both parts) | $70.79 | $81.28 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.02 Typical High $17.78 | Professional | 26 · Professional part | $10.47 | $12.02 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $69.18 Typical High $117.49 | Professional | TC · Technical part | $60.26 | $69.18 | $117.49 |
United Setting Facility Modifier None Typical Low $154.88 Median $162.18 Typical High $213.80 | Facility | None | $154.88 | $162.18 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $83.18 Typical High $128.82 | Professional | None (both parts) | $66.07 | $83.18 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $16.22 | Professional | 26 · Professional part | $10.00 | $12.30 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $109.65 | Professional | TC · Technical part | $54.95 | $70.79 | $109.65 |
3 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 $44.67 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $44.67 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $17.78 | $19.05 | $19.05 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $58.88 Median $58.88 Typical High $100.00 | Professional | 59 · Distinct service | $58.88 | $58.88 | $100.00 |
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· 44th of 51
$89.13
AK $209UT $63.10
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.