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 $123.03 Median $141.25 Typical High $147.91 | Professional | None (both parts) | $123.03 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $43.65 | $54.95 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $85.11 Typical High $97.72 | Professional | TC · Technical part | $79.43 | $85.11 | $97.72 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $109.65 | Professional | None (both parts) | $87.10 | $102.33 | $109.65 |
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 None (both parts) Typical Low $45.71 Median $77.62 Typical High $123.03 | Professional | None (both parts) | $45.71 | $77.62 | $123.03 |
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 $144.54 Median $190.55 Typical High $213.80 | Professional | None (both parts) | $144.54 | $190.55 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $64.57 | Professional | 26 · Professional part | $43.65 | $48.98 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $141.25 Typical High $151.36 | Professional | TC · Technical part | $95.50 | $141.25 | $151.36 |
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 $97.72 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $97.72 | $120.23 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $69.18 | Professional | 26 · Professional part | $35.48 | $47.86 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $74.13 Typical High $141.25 | Professional | TC · Technical part | $54.95 | $74.13 | $141.25 |
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 $61.66 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $61.66 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $24.55 | $28.18 | $28.18 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 59 · Distinct service | $109.65 | $109.65 | $109.65 |
Where Alabama sits
The same service costs 3.2 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· 50th of 51
$102
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.