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 Professional Modifier None (both parts) Typical Low $95.50 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $95.50 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $23.44 | $24.55 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $72.44 | $77.62 | $77.62 |
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 32 · Mandated service Typical Low $18.20 Median $54.95 Typical High $75.86 | Professional | 32 · Mandated service | $18.20 | $54.95 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $208.93 Typical High $263.03 | Facility | None | $120.23 | $208.93 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $72.44 Typical High $93.33 | Professional | None (both parts) | $66.07 | $72.44 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.91 Typical High $28.84 | Professional | 26 · Professional part | $20.42 | $22.91 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $50.12 Typical High $63.10 | Professional | TC · Technical part | $43.65 | $50.12 | $63.10 |
United Setting Facility Modifier None Typical Low $147.91 Median $154.88 Typical High $204.17 | Facility | None | $147.91 | $154.88 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $61.66 Typical High $85.11 | Professional | None (both parts) | $46.77 | $61.66 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.62 Typical High $26.30 | Professional | 26 · Professional part | $14.45 | $18.62 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $42.66 Typical High $58.88 | Professional | TC · Technical part | $25.70 | $42.66 | $58.88 |
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 $51.29 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $20.42 | $20.42 | $20.42 |
Where Alabama sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 37th of 51
$75.86
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.