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 Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $158.49 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $79.43 | $100.00 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $81.28 | $87.10 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $144.54 | $144.54 | $144.54 |
BCBS Alabama Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $60.26 Median $83.18 Typical High $165.96 | Professional | 32 · Mandated service | $60.26 | $83.18 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $173.78 Typical High $194.98 | Facility | None | $93.33 | $173.78 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $218.78 | Professional | None (both parts) | $147.91 | $173.78 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $77.62 | $87.10 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $112.20 | Professional | TC · Technical part | $74.13 | $89.13 | $112.20 |
United Setting Facility Modifier None Typical Low $154.88 Median $162.18 Typical High $213.80 | Facility | None | $154.88 | $162.18 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $158.49 Typical High $229.09 | Professional | None (both parts) | $114.82 | $158.49 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $64.57 | $83.18 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $77.62 Typical High $112.20 | Professional | TC · Technical part | $26.92 | $77.62 | $112.20 |
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 $79.43 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $79.43 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $31.62 | $37.15 | $37.15 |
Where Alabama sits
The same service costs 3.9 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· 22nd of 51
$186
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.