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 $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $912.01 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $120.23 | $199.53 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,258.93 Typical High $1,258.93 | Professional | TC · Technical part | $794.33 | $1,258.93 | $1,258.93 |
BCBS Alabama Setting Facility Modifier None Typical Low $1,096.48 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,096.48 | $1,122.02 | $1,122.02 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $190.55 Median $691.83 Typical High $933.25 | Professional | 32 · Mandated service | $190.55 | $691.83 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,380.38 Typical High $1,548.82 | Facility | None | $776.25 | $1,380.38 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $912.01 Typical High $1,380.38 | Professional | None (both parts) | $891.25 | $912.01 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $131.83 Typical High $263.03 | Professional | 26 · Professional part | $120.23 | $131.83 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $776.25 Typical High $1,202.26 | Professional | TC · Technical part | $758.58 | $776.25 | $1,202.26 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $1,380.38 | Facility | None | $1,000.00 | $1,047.13 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,000.00 Typical High $1,445.44 | Professional | None (both parts) | $691.83 | $1,000.00 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $134.90 Typical High $194.98 | Professional | 26 · Professional part | $100.00 | $134.90 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $851.14 Typical High $1,258.93 | Professional | TC · Technical part | $602.56 | $851.14 | $1,258.93 |
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 $457.09 Median $724.44 Typical High $724.44 | Professional | 52 · Reduced service | $457.09 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $181.97 | $295.12 | $295.12 |
Where Alabama sits
The same service costs 2.9 times more in Alaska than in Texas. 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· 27th of 51
$1,122
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.