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 $79.43 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $79.43 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $30.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $51.29 | $56.23 | $56.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $40.74 | $40.74 | $40.74 |
BCBS Alabama Setting Facility Modifier None Typical Low $104.71 Median $107.15 Typical High $107.15 | Facility | None | $104.71 | $107.15 | $107.15 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $30.90 Median $50.12 Typical High $81.28 | Professional | 32 · Mandated service | $30.90 | $50.12 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $79.43 Typical High $93.33 | Facility | None | $53.70 | $79.43 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $112.20 | Professional | None (both parts) | $72.44 | $85.11 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $42.66 | Professional | 26 · Professional part | $30.20 | $33.11 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $67.61 | Professional | TC · Technical part | $43.65 | $51.29 | $67.61 |
United Setting Facility Modifier None Typical Low $69.18 Median $70.79 Typical High $95.50 | Facility | None | $69.18 | $70.79 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $112.20 | Professional | None (both parts) | $61.66 | $77.62 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $47.86 | Professional | 26 · Professional part | $24.55 | $32.36 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $45.71 Typical High $69.18 | Professional | TC · Technical part | $28.84 | $45.71 | $69.18 |
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 $39.81 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $39.81 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $15.85 | $19.05 | $19.05 |
Where Alabama sits
The same service costs 3.0 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· 20th of 51
$95.50
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.