How much rates vary
Facilitymedian $151 · 10th to 90th $148 to $214Professionalmedian $46 · 10th to 90th $35 to $74
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 $38.90 Median $45.71 Typical High $537.03 | Facility | None | $38.90 | $45.71 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | None (both parts) | $45.71 | $45.71 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.59 Typical High $12.59 | Professional | 26 · Professional part | $12.30 | $12.59 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $35.48 | Professional | TC · Technical part | $33.11 | $33.11 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $35.48 Typical High $46.77 | Professional | None (both parts) | $30.20 | $35.48 | $46.77 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.22 Typical High $13.18 | Professional | 26 · Professional part | $9.77 | $11.22 | $13.18 |
BCBS Alabama Setting Facility Modifier None Typical Low $147.91 Median $151.36 Typical High $151.36 | Facility | None | $147.91 | $151.36 | $151.36 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $16.60 Median $43.65 Typical High $83.18 | Professional | 32 · Mandated service | $16.60 | $43.65 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $416.87 Typical High $467.74 | Facility | None | $223.87 | $416.87 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $66.07 Typical High $81.28 | Professional | None (both parts) | $56.23 | $66.07 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.14 Typical High $19.05 | Professional | 26 · Professional part | $12.88 | $15.14 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $63.10 | Professional | TC · Technical part | $43.65 | $51.29 | $63.10 |
United Setting Facility Modifier None Typical Low $436.52 Median $446.68 Typical High $602.56 | Facility | None | $436.52 | $446.68 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $54.95 Typical High $74.13 | Professional | None (both parts) | $42.66 | $54.95 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.88 Typical High $17.38 | Professional | 26 · Professional part | $9.33 | $12.88 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $41.69 Typical High $57.54 | Professional | TC · Technical part | $33.11 | $41.69 | $57.54 |
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 $22.91 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 59 · Distinct service | $43.65 | $43.65 | $43.65 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | XU · Unusual separate service | $35.48 | $35.48 | $35.48 |
Where Alabama sits
The same service costs 3.3 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· 42nd of 51
$46.77
MN $105UT $31.62
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.