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 $223.87 Median $407.38 Typical High $407.38 | Facility | None | $223.87 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $331.13 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $54.95 | $69.18 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $275.42 | $338.84 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $630.96 | Professional | None (both parts) | $331.13 | $331.13 | $630.96 |
BCBS Alabama Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $56.23 Median $263.03 Typical High $316.23 | Professional | 32 · Mandated service | $56.23 | $263.03 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $416.87 Typical High $467.74 | Facility | None | $223.87 | $416.87 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $416.87 Typical High $478.63 | Professional | None (both parts) | $154.88 | $416.87 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $53.70 | $61.66 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $354.81 Typical High $416.87 | Professional | TC · Technical part | $275.42 | $354.81 | $416.87 |
United Setting Facility Modifier None Typical Low $251.19 Median $263.03 Typical High $346.74 | Facility | None | $251.19 | $263.03 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $302.00 Typical High $446.68 | Professional | None (both parts) | $190.55 | $302.00 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $87.10 | Professional | 26 · Professional part | $44.67 | $58.88 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $245.47 Typical High $371.54 | Professional | TC · Technical part | $128.82 | $245.47 | $371.54 |
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 $165.96 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $165.96 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $66.07 | $81.28 | $81.28 |
Where Alabama sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 21st of 51
$407
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.