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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $39.81 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $15.14 | $17.78 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $25.12 | $28.84 | $28.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $41.69 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $41.69 | $42.66 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $14.45 | $14.45 | $14.45 |
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 $16.22 Median $26.92 Typical High $43.65 | Professional | 32 · Mandated service | $16.22 | $26.92 | $43.65 |
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 $40.74 Median $43.65 Typical High $53.70 | Professional | None (both parts) | $40.74 | $43.65 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.38 Typical High $21.88 | Professional | 26 · Professional part | $15.49 | $17.38 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.30 Typical High $32.36 | Professional | TC · Technical part | $23.44 | $26.30 | $32.36 |
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 $28.84 Median $36.31 Typical High $48.98 | Professional | None (both parts) | $28.84 | $36.31 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.79 Typical High $19.50 | Professional | 26 · Professional part | $10.96 | $14.79 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $29.51 | Professional | TC · Technical part | $17.78 | $21.88 | $29.51 |
3 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 $23.44 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $9.33 | $9.33 | $9.33 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $36.31 Median $40.74 Typical High $42.66 | Professional | 59 · Distinct service | $36.31 | $40.74 | $42.66 |
Where Alabama sits
The same service costs 2.7 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· 26th of 51
$43.65
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.