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 $97.72 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $97.72 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $33.88 | $42.66 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $64.57 | $77.62 | $77.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
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 $33.88 Median $64.57 Typical High $97.72 | Professional | 32 · Mandated service | $33.88 | $64.57 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $208.93 Typical High $234.42 | Facility | None | $117.49 | $208.93 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $70.79 | $83.18 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $46.77 | Professional | 26 · Professional part | $33.11 | $37.15 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $66.07 | Professional | TC · Technical part | $39.81 | $46.77 | $66.07 |
United Setting Facility Modifier None Typical Low $147.91 Median $154.88 Typical High $204.17 | Facility | None | $147.91 | $154.88 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $85.11 Typical High $125.89 | Professional | None (both parts) | $51.29 | $85.11 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $26.92 | $35.48 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $53.70 Typical High $75.86 | Professional | TC · Technical part | $12.30 | $53.70 | $75.86 |
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 $48.98 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $48.98 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $19.95 | $23.99 | $23.99 |
Where Alabama sits
The same service costs 3.5 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· 18th of 51
$120
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.