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 Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $512.86 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $114.82 | $144.54 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $398.11 | $501.19 | $501.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $208.93 | $208.93 | $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 $117.49 Median $389.05 Typical High $512.86 | Professional | 32 · Mandated service | $117.49 | $389.05 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,380.38 Typical High $1,548.82 | Facility | None | $776.25 | $1,380.38 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $501.19 Typical High $676.08 | Professional | None (both parts) | $338.84 | $501.19 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $128.82 Typical High $162.18 | Professional | 26 · Professional part | $109.65 | $128.82 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $371.54 Typical High $501.19 | Professional | TC · Technical part | $331.13 | $371.54 | $501.19 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $1,380.38 | Facility | None | $1,000.00 | $1,047.13 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $489.78 Typical High $758.58 | Professional | None (both parts) | $398.11 | $489.78 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $186.21 | Professional | 26 · Professional part | $93.33 | $123.03 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $363.08 Typical High $588.84 | Professional | TC · Technical part | $309.03 | $363.08 | $588.84 |
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 $263.03 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $263.03 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $104.71 | $128.82 | $128.82 |
Where Alabama sits
The same service costs 3.1 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· 42nd of 51
$513
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.