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 $128.82 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $128.82 | $275.42 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $229.09 | $229.09 | $229.09 |
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 None (both parts) Typical Low $125.89 Median $208.93 Typical High $331.13 | Professional | None (both parts) | $125.89 | $208.93 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $707.95 Typical High $794.33 | Facility | None | $389.05 | $707.95 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $354.81 Typical High $588.84 | Professional | None (both parts) | $288.40 | $354.81 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $141.25 Typical High $239.88 | Professional | 26 · Professional part | $114.82 | $141.25 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $208.93 Typical High $354.81 | Professional | TC · Technical part | $173.78 | $208.93 | $354.81 |
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 $208.93 Median $263.03 Typical High $416.87 | Professional | None (both parts) | $208.93 | $263.03 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $151.36 | Professional | 26 · Professional part | $81.28 | $112.20 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $151.36 Typical High $223.87 | Professional | TC · Technical part | $120.23 | $151.36 | $223.87 |
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 $63.10 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $63.10 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $54.95 Typical High $64.57 | Professional | 53 · Discontinued | $25.70 | $54.95 | $64.57 |
Where Alabama sits
The same service costs 9.8 times more in Alaska than in New York. 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· 49th of 51
$209
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.