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 $112.20 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $112.20 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $54.95 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $21.88 | $26.30 | $26.30 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
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 $89.13 Median $123.03 Typical High $123.03 | Professional | 32 · Mandated service | $89.13 | $123.03 | $123.03 |
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 $102.33 Median $107.15 Typical High $186.21 | Professional | None (both parts) | $102.33 | $107.15 | $186.21 |
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 $85.11 Median $109.65 Typical High $158.49 | Professional | None (both parts) | $85.11 | $109.65 | $158.49 |
1 more rate 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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $97.72 Typical High $177.83 | Professional | TC · Technical part | $85.11 | $97.72 | $177.83 |
Where Alabama sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 23rd of 51
$132
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.