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 $154.88 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $154.88 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $28.18 | $33.88 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $120.23 | $144.54 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
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 $26.92 Median $131.83 Typical High $158.49 | Professional | 32 · Mandated service | $26.92 | $131.83 | $158.49 |
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 $131.83 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $131.83 | $154.88 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.20 Typical High $38.90 | Professional | 26 · Professional part | $26.92 | $30.20 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $109.65 | $125.89 | $173.78 |
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 $64.57 Median $128.82 Typical High $190.55 | Professional | None (both parts) | $64.57 | $128.82 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $21.88 | $28.18 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $100.00 Typical High $158.49 | Professional | TC · Technical part | $33.11 | $100.00 | $158.49 |
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 $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 $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $29.51 | $36.31 | $36.31 |
Where Alabama sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 29th of 51
$178
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.