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 $426.58 Median $524.81 Typical High $524.81 | Facility | None | $426.58 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $524.81 Typical High $549.54 | Professional | None (both parts) | $416.87 | $524.81 | $549.54 |
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 $371.54 Median $457.09 Typical High $478.63 | Professional | TC · Technical part | $371.54 | $457.09 | $478.63 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $398.11 Median $426.58 Typical High $457.09 | Professional | None (both parts) | $398.11 | $426.58 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $74.13 | Professional | 26 · Professional part | $53.70 | $56.23 | $74.13 |
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 $57.54 Median $363.08 Typical High $416.87 | Professional | 32 · Mandated service | $57.54 | $363.08 | $416.87 |
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 $138.04 Median $407.38 Typical High $537.03 | Professional | None (both parts) | $138.04 | $407.38 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $54.95 | $61.66 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $346.74 Typical High $478.63 | Professional | TC · Technical part | $295.12 | $346.74 | $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 $151.36 Median $380.19 Typical High $575.44 | Professional | None (both parts) | $151.36 | $380.19 | $575.44 |
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 $91.20 Median $338.84 Typical High $478.63 | Professional | TC · Technical part | $91.20 | $338.84 | $478.63 |
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 $213.80 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $213.80 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $85.11 | $104.71 | $104.71 |
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· 29th of 51
$468
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.