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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $66.07 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $30.20 | $34.67 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $34.67 | $41.69 | $41.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $28.84 | Professional | 26 · Professional part | $27.54 | $27.54 | $28.84 |
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 $38.02 Median $58.88 Typical High $112.20 | Professional | 32 · Mandated service | $38.02 | $58.88 | $112.20 |
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 $64.57 Median $66.07 Typical High $83.18 | Professional | None (both parts) | $64.57 | $66.07 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $41.69 | Professional | 26 · Professional part | $30.20 | $33.11 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.11 Typical High $40.74 | Professional | TC · Technical part | $31.62 | $33.11 | $40.74 |
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 $45.71 Median $56.23 Typical High $75.86 | Professional | None (both parts) | $45.71 | $56.23 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.18 Typical High $38.02 | Professional | 26 · Professional part | $21.38 | $28.18 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $27.54 Typical High $38.90 | Professional | TC · Technical part | $23.44 | $27.54 | $38.90 |
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 $38.02 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Where Alabama sits
The same service costs 3.6 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· 24th of 51
$74.13
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.