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 $1.91 Median $2.40 Typical High $2.82 | Facility | None | $1.91 | $2.40 | $2.82 |
Aetna Setting Professional Modifier None Typical Low $1.91 Median $2.19 Typical High $2.57 | Professional | None | $1.91 | $2.19 | $2.57 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
BCBS Alabama Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $1.29 Median $1.29 Typical High $2.04 | Professional | 32 · Mandated service | $1.29 | $1.29 | $2.04 |
Cigna Setting Professional Modifier None Typical Low $1.58 Median $5.01 Typical High $5.01 | Professional | None | $1.58 | $5.01 | $5.01 |
United Setting Facility Modifier None Typical Low $33.88 Median $34.67 Typical High $46.77 | Facility | None | $33.88 | $34.67 | $46.77 |
United Setting Professional Modifier None Typical Low $1.74 Median $2.24 Typical High $2.45 | Professional | None | $1.74 | $2.24 | $2.45 |
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 $1.02 Median $1.29 Typical High $1.29 | Professional | 52 · Reduced service | $1.02 | $1.29 | $1.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.41 Median $0.51 Typical High $0.51 | Professional | 53 · Discontinued | $0.41 | $0.51 | $0.51 |
Where Alabama sits
The same service costs 2.2 times more in North Dakota 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· 29th of 51
$2.19
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.