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 $104.71 Median $144.54 Typical High $144.54 | Facility | None | $104.71 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $128.82 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $23.44 | $28.84 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $104.71 | $114.82 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $16.98 | $16.98 | $16.98 |
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 $21.38 Median $104.71 Typical High $147.91 | Professional | 12 + 32 · Mandated service | $21.38 | $104.71 | $147.91 |
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 $112.20 Median $117.49 Typical High $190.55 | Professional | None (both parts) | $112.20 | $117.49 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $23.99 Typical High $34.67 | Professional | 26 · Professional part | $13.18 | $23.99 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $165.96 | Professional | TC · Technical part | $93.33 | $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 $16.22 Median $21.88 Typical High $32.36 | Professional | 26 · Professional part | $16.22 | $21.88 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $158.49 | Professional | TC · Technical part | $79.43 | $104.71 | $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 $66.07 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $66.07 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $26.30 | $28.84 | $28.84 |
Where Alabama sits
The same service costs 3.2 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· 34th of 51
$141
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.