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 $144.54 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $144.54 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $85.11 | $107.15 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $60.26 | $72.44 | $72.44 |
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 $58.88 Median $87.10 Typical High $144.54 | Professional | None (both parts) | $58.88 | $87.10 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $416.87 Typical High $467.74 | Facility | None | $120.23 | $416.87 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $208.93 | Professional | None (both parts) | $134.90 | $158.49 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $95.50 Typical High $123.03 | Professional | 26 · Professional part | $85.11 | $95.50 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $81.28 | Professional | TC · Technical part | $50.12 | $63.10 | $81.28 |
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 $114.82 Median $154.88 Typical High $229.09 | Professional | None (both parts) | $114.82 | $154.88 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $69.18 | $91.20 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $93.33 | Professional | TC · Technical part | $47.86 | $61.66 | $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 $74.13 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $74.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $29.51 | $35.48 | $35.48 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 59 · Distinct service | $275.42 | $275.42 | $275.42 |
Where Alabama sits
The same service costs 3.6 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· 47th of 51
$129
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.