How much rates vary
Facilitymedian $76 · 10th to 90th $76 to $76Professionalmedian $32 · 10th to 90th $25 to $46
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 $26.30 Median $32.36 Typical High $32.36 | Facility | None | $26.30 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $8.71 | $10.00 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $23.44 | Professional | TC · Technical part | $22.39 | $22.39 | $23.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.39 Median $26.30 Typical High $33.88 | Professional | None (both parts) | $22.39 | $26.30 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.24 Typical High $10.72 | Professional | 26 · Professional part | $7.24 | $7.24 | $10.72 |
BCBS Alabama Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
BCBS Alabama Setting Professional Modifier 12 + 32 · Mandated service Typical Low $9.12 Median $25.12 Typical High $45.71 | Professional | 12 + 32 · Mandated service | $9.12 | $25.12 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $208.93 Typical High $234.42 | Facility | None | $117.49 | $208.93 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $39.81 Typical High $48.98 | Professional | None (both parts) | $33.11 | $39.81 | $48.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $9.77 Typical High $12.30 | Professional | 26 · Professional part | $8.91 | $9.77 | $12.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $29.51 Typical High $36.31 | Professional | TC · Technical part | $25.12 | $29.51 | $36.31 |
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 $25.12 Median $32.36 Typical High $44.67 | Professional | None (both parts) | $25.12 | $32.36 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.32 Typical High $10.96 | Professional | 26 · Professional part | $6.31 | $8.32 | $10.96 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $24.55 Typical High $33.11 | Professional | TC · Technical part | $19.05 | $24.55 | $33.11 |
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 $16.22 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $23.99 Median $23.99 Typical High $37.15 | Professional | 59 · Distinct service | $23.99 | $23.99 | $37.15 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $22.39 Median $22.39 Typical High $24.55 | Professional | SA · Nurse practitioner | $22.39 | $22.39 | $24.55 |
Where Alabama sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 36th of 51
$32.36
MN $67.61TX $26.92
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.