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 $107.15 Median $107.15 Typical High $134.90 | Facility | None | $107.15 | $107.15 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $112.20 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $63.10 | $81.28 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $52.48 Typical High $57.54 | Professional | TC · Technical part | $47.86 | $52.48 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $128.82 Typical High $204.17 | Professional | None (both parts) | $125.89 | $128.82 | $204.17 |
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 $123.03 | Professional | 32 · Mandated service | $47.86 | $66.07 | $123.03 |
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 $107.15 Median $128.82 Typical High $158.49 | Professional | None (both parts) | $107.15 | $128.82 | $158.49 |
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 $45.71 Median $56.23 Typical High $72.44 | Professional | TC · Technical part | $45.71 | $56.23 | $72.44 |
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 $93.33 Median $123.03 Typical High $181.97 | Professional | None (both parts) | $93.33 | $123.03 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $52.48 | $69.18 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $52.48 Typical High $77.62 | Professional | TC · Technical part | $40.74 | $52.48 | $77.62 |
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 $56.23 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $56.23 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $26.92 | $26.92 |
Where Alabama sits
The same service costs 3.8 times more in Alaska than in Utah. 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
$135
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.