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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $269.15 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $39.81 | $46.77 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $229.09 | $239.88 | $239.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
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 $30.90 Median $177.83 Typical High $245.47 | Professional | 12 + 32 · Mandated service | $30.90 | $177.83 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $363.08 Typical High $2,137.96 | Facility | None | $316.23 | $363.08 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $194.98 | $239.88 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $54.95 | Professional | 26 · Professional part | $33.11 | $37.15 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $204.17 Typical High $309.03 | Professional | TC · Technical part | $181.97 | $204.17 | $309.03 |
United Setting Facility Modifier None Typical Low $275.42 Median $288.40 Typical High $380.19 | Facility | None | $275.42 | $288.40 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $251.19 Typical High $346.74 | Professional | None (both parts) | $204.17 | $251.19 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $51.29 | Professional | 26 · Professional part | $30.90 | $38.02 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $213.80 Typical High $295.12 | Professional | TC · Technical part | $173.78 | $213.80 | $295.12 |
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 $134.90 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $134.90 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $53.70 | $57.54 | $57.54 |
Where Alabama sits
The same service costs 3.1 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· 46th of 51
$245
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.