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 $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $51.29 | $51.29 | $51.29 |
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 $21.38 Median $47.86 Typical High $69.18 | Professional | 32 · Mandated service | $21.38 | $47.86 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $79.43 Typical High $89.13 | Facility | None | $53.70 | $79.43 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $83.18 Typical High $102.33 | Professional | None (both parts) | $75.86 | $83.18 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $34.67 | Professional | 26 · Professional part | $24.55 | $28.18 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $54.95 Typical High $67.61 | Professional | TC · Technical part | $50.12 | $54.95 | $67.61 |
United Setting Facility Modifier None Typical Low $69.18 Median $70.79 Typical High $95.50 | Facility | None | $69.18 | $70.79 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $70.79 Typical High $97.72 | Professional | None (both parts) | $54.95 | $70.79 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.44 Typical High $30.90 | Professional | 26 · Professional part | $17.78 | $23.44 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $47.86 Typical High $67.61 | Professional | TC · Technical part | $38.02 | $47.86 | $67.61 |
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 $38.90 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $15.49 | $15.49 | $15.49 |
Where Alabama sits
The same service costs 4.9 times more in Nebraska 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· 31st of 51
$77.62
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.