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 $275.42 Median $524.81 Typical High $524.81 | Facility | None | $275.42 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $398.11 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $85.11 | $104.71 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $316.23 | $416.87 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $436.52 Median $588.84 Typical High $812.83 | Professional | None (both parts) | $436.52 | $588.84 | $812.83 |
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 $85.11 Median $309.03 Typical High $398.11 | Professional | 32 · Mandated service | $85.11 | $309.03 | $398.11 |
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 $165.96 Median $501.19 Typical High $602.56 | Professional | None (both parts) | $165.96 | $501.19 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $123.03 | Professional | 26 · Professional part | $83.18 | $97.72 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $398.11 Typical High $478.63 | Professional | TC · Technical part | $323.59 | $398.11 | $478.63 |
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 $251.19 Median $380.19 Typical High $549.54 | Professional | None (both parts) | $251.19 | $380.19 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $131.83 | Professional | 26 · Professional part | $67.61 | $91.20 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $288.40 Typical High $436.52 | Professional | TC · Technical part | $154.88 | $288.40 | $436.52 |
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 $204.17 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $204.17 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $83.18 | $104.71 | $104.71 |
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
$525
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.