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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $295.12 Typical High $323.59 | Professional | None (both parts) | $245.47 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $194.98 Typical High $204.17 | Professional | 26 · Professional part | $154.88 | $194.98 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $102.33 Typical High $117.49 | Professional | TC · Technical part | $95.50 | $102.33 | $117.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $218.78 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $218.78 | $234.42 | $316.23 |
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 $93.33 Median $158.49 Typical High $251.19 | Professional | 32 · Mandated service | $93.33 | $158.49 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $707.95 Typical High $794.33 | Facility | None | $389.05 | $707.95 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $269.15 Typical High $354.81 | Professional | None (both parts) | $234.42 | $269.15 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $169.82 Typical High $218.78 | Professional | 26 · Professional part | $147.91 | $169.82 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $138.04 | Professional | TC · Technical part | $85.11 | $100.00 | $138.04 |
United Setting Facility Modifier None Typical Low $436.52 Median $446.68 Typical High $602.56 | Facility | None | $436.52 | $446.68 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $269.15 Typical High $398.11 | Professional | None (both parts) | $199.53 | $269.15 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $162.18 Typical High $245.47 | Professional | 26 · Professional part | $123.03 | $162.18 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $102.33 Typical High $151.36 | Professional | TC · Technical part | $77.62 | $102.33 | $151.36 |
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 $123.03 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $123.03 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $48.98 | $58.88 | $58.88 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 59 · Distinct service | $234.42 | $234.42 | $234.42 |
Where Alabama sits
The same service costs 3.3 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· 36th of 51
$269
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.