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 $102.33 Median $138.04 Typical High $194.98 | Facility | None | $102.33 | $138.04 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $123.03 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.30 Typical High $27.54 | Professional | 26 · Professional part | $21.88 | $26.30 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $120.23 | Professional | TC · Technical part | $100.00 | $112.20 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $95.50 Typical High $138.04 | Professional | None (both parts) | $83.18 | $95.50 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.60 Typical High $31.62 | Professional | 26 · Professional part | $15.49 | $16.60 | $31.62 |
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 $17.78 Median $91.20 Typical High $123.03 | Professional | 12 + 32 · Mandated service | $17.78 | $91.20 | $123.03 |
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 $91.20 Median $109.65 Typical High $181.97 | Professional | None (both parts) | $91.20 | $109.65 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.88 Typical High $32.36 | Professional | 26 · Professional part | $19.05 | $21.88 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $158.49 | Professional | TC · Technical part | $72.44 | $89.13 | $158.49 |
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 $95.50 Median $120.23 Typical High $186.21 | Professional | None (both parts) | $95.50 | $120.23 | $186.21 |
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 $75.86 Median $97.72 Typical High $154.88 | Professional | TC · Technical part | $75.86 | $97.72 | $154.88 |
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 $64.57 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $64.57 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $25.70 | $27.54 | $27.54 |
Where Alabama sits
The same service costs 4.0 times more in Minnesota 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· 40th of 51
$132
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.