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 $128.82 Median $162.18 Typical High $575.44 | Facility | None | $128.82 | $162.18 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $169.82 | Professional | None (both parts) | $134.90 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $102.33 | Professional | 26 · Professional part | $75.86 | $97.72 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $63.10 Typical High $72.44 | Professional | TC · Technical part | $57.54 | $63.10 | $72.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $173.78 | Professional | None (both parts) | $120.23 | $128.82 | $173.78 |
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 $57.54 Median $79.43 Typical High $141.25 | Professional | 32 · Mandated service | $57.54 | $79.43 | $141.25 |
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 $128.82 Median $151.36 Typical High $190.55 | Professional | None (both parts) | $128.82 | $151.36 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $109.65 | Professional | 26 · Professional part | $74.13 | $85.11 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $66.07 Typical High $85.11 | Professional | TC · Technical part | $53.70 | $66.07 | $85.11 |
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 $112.20 Median $147.91 Typical High $213.80 | Professional | None (both parts) | $112.20 | $147.91 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $61.66 | $83.18 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $63.10 Typical High $93.33 | Professional | TC · Technical part | $48.98 | $63.10 | $93.33 |
3 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 $67.61 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $67.61 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $26.92 | $32.36 | $32.36 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 59 · Distinct service | $128.82 | $128.82 | $128.82 |
Where Alabama sits
The same service costs 4.0 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· 25th of 51
$162
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.