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 $154.88 Typical High $154.88 | Facility | None | $102.33 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $131.83 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $23.99 | $28.18 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $107.15 | $125.89 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $173.78 | Professional | None (both parts) | $102.33 | $102.33 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $21.88 | $21.88 | $21.88 |
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 $107.15 Typical High $147.91 | Professional | 12 + 32 · Mandated service | $17.78 | $107.15 | $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 $138.04 Median $144.54 Typical High $199.53 | Professional | None (both parts) | $138.04 | $144.54 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $10.72 | $23.99 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $165.96 | Professional | TC · Technical part | $120.23 | $120.23 | $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 $114.82 Median $141.25 Typical High $208.93 | Professional | None (both parts) | $114.82 | $141.25 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $21.38 Typical High $30.90 | Professional | 26 · Professional part | $14.13 | $21.38 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $194.98 | Professional | TC · Technical part | $95.50 | $117.49 | $194.98 |
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 $77.62 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Where Alabama sits
The same service costs 3.7 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· 33rd of 51
$155
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.