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 $204.17 Typical High $204.17 | Professional | None (both parts) | $154.88 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $26.30 | $33.88 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $125.89 | $173.78 | $173.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $208.93 | Professional | None (both parts) | $125.89 | $151.36 | $208.93 |
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 $24.55 Median $125.89 Typical High $158.49 | Professional | 32 · Mandated service | $24.55 | $125.89 | $158.49 |
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 $128.82 Median $151.36 Typical High $204.17 | Professional | None (both parts) | $128.82 | $151.36 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $38.02 | Professional | 26 · Professional part | $26.30 | $29.51 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $173.78 | Professional | TC · Technical part | $104.71 | $123.03 | $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 $66.07 Median $123.03 Typical High $181.97 | Professional | None (both parts) | $66.07 | $123.03 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.18 Typical High $41.69 | Professional | 26 · Professional part | $20.89 | $28.18 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $95.50 Typical High $151.36 | Professional | TC · Technical part | $33.11 | $95.50 | $151.36 |
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 $77.62 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $77.62 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $31.62 | $41.69 | $41.69 |
Where Alabama sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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
$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.