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 $128.82 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $128.82 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $64.57 | $81.28 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $64.57 | $75.86 | $75.86 |
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 $47.86 Median $66.07 Typical High $131.83 | Professional | 32 · Mandated service | $47.86 | $66.07 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $208.93 Typical High $234.42 | Facility | None | $117.49 | $208.93 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $169.82 | Professional | None (both parts) | $114.82 | $134.90 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $91.20 | Professional | 26 · Professional part | $61.66 | $72.44 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $89.13 | Professional | TC · Technical part | $54.95 | $64.57 | $89.13 |
United Setting Facility Modifier None Typical Low $147.91 Median $154.88 Typical High $204.17 | Facility | None | $147.91 | $154.88 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $123.03 Typical High $181.97 | Professional | None (both parts) | $81.28 | $123.03 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $51.29 | $67.61 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $58.88 Typical High $85.11 | Professional | TC · Technical part | $7.76 | $58.88 | $85.11 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Alabama Setting Facility Modifier 50 · Both sides Typical Low $295.12 Median $302.00 Typical High $302.00 | Facility | 50 · Both sides | $295.12 | $302.00 | $302.00 |
Where Alabama sits
The same service costs 4.7 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· 20th of 51
$155
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.