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 $204.17 Median $457.09 Typical High $457.09 | Facility | None | $204.17 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $457.09 Typical High $467.74 | Professional | None (both parts) | $354.81 | $457.09 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $72.44 | Professional | 26 · Professional part | $54.95 | $69.18 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $380.19 Typical High $389.05 | Professional | TC · Technical part | $302.00 | $380.19 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $407.38 | Professional | None (both parts) | $363.08 | $363.08 | $407.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $72.44 | Professional | 26 · Professional part | $53.70 | $56.23 | $72.44 |
BCBS Alabama Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $52.48 Median $295.12 Typical High $346.74 | Professional | 32 · Mandated service | $52.48 | $295.12 | $346.74 |
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 $125.89 Median $354.81 Typical High $478.63 | Professional | None (both parts) | $125.89 | $354.81 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $37.15 | $61.66 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $295.12 Typical High $407.38 | Professional | TC · Technical part | $89.13 | $295.12 | $407.38 |
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 $177.83 Median $331.13 Typical High $478.63 | Professional | None (both parts) | $177.83 | $331.13 | $478.63 |
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 $114.82 Median $275.42 Typical High $407.38 | Professional | TC · Technical part | $114.82 | $275.42 | $407.38 |
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 $181.97 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $181.97 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $74.13 | $91.20 | $91.20 |
Where Alabama sits
The same service costs 3.0 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· 20th of 51
$447
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.