How much rates vary
Facilitymedian $245 · 10th to 90th $214 to $245Professionalmedian $135 · 10th to 90th $102 to $186
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 $117.49 Median $151.36 Typical High $151.36 | Facility | None | $117.49 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $165.96 | Professional | None (both parts) | $138.04 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $22.39 | $26.30 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $125.89 Typical High $144.54 | Professional | TC · Technical part | $112.20 | $125.89 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $123.03 | Professional | None (both parts) | $93.33 | $93.33 | $123.03 |
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 $19.05 Median $112.20 Typical High $154.88 | Professional | 12 + 32 · Mandated service | $19.05 | $112.20 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $213.80 Typical High $2,137.96 | Facility | None | $194.98 | $213.80 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $112.20 | $125.89 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.38 Typical High $31.62 | Professional | 26 · Professional part | $19.05 | $21.38 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $104.71 Typical High $177.83 | Professional | TC · Technical part | $91.20 | $104.71 | $177.83 |
United Setting Facility Modifier None Typical Low $251.19 Median $263.03 Typical High $346.74 | Facility | None | $251.19 | $263.03 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $131.83 Typical High $199.53 | Professional | None (both parts) | $102.33 | $131.83 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.88 Typical High $29.51 | Professional | 26 · Professional part | $17.38 | $21.88 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $169.82 | Professional | TC · Technical part | $85.11 | $109.65 | $169.82 |
4 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 $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $70.79 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $28.18 | $30.20 | $30.20 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 51 · Multiple procedures | $100.00 | $100.00 | $100.00 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 59 · Distinct service | $100.00 | $100.00 | $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· 37th of 51
$151
AK $316UT $95.50
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.