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 $48.98 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $48.98 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.14 Typical High $15.14 | Professional | 26 · Professional part | $14.13 | $15.14 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $34.67 | $37.15 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $53.70 | $53.70 | $53.70 |
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 $13.80 Median $34.67 Typical High $56.23 | Professional | 32 · Mandated service | $13.80 | $34.67 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $263.03 | Facility | None | $208.93 | $208.93 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $43.65 Typical High $54.95 | Professional | None (both parts) | $41.69 | $43.65 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.45 Typical High $18.62 | Professional | 26 · Professional part | $13.49 | $14.45 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $36.31 | Professional | TC · Technical part | $28.84 | $28.84 | $36.31 |
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 $30.20 Median $38.02 Typical High $52.48 | Professional | None (both parts) | $30.20 | $38.02 | $52.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.59 Typical High $16.60 | Professional | 26 · Professional part | $9.55 | $12.59 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $35.48 | Professional | TC · Technical part | $21.38 | $25.70 | $35.48 |
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 $26.30 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $10.47 | $10.47 | $10.47 |
Where Alabama sits
The same service costs 2.9 times more in Alaska 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· 25th of 51
$50.12
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.