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 $14.13 Median $17.38 Typical High $323.59 | Facility | None | $14.13 | $17.38 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $17.38 Typical High $25.70 | Professional | None | $15.49 | $17.38 | $25.70 |
BCBS Alabama Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
BCBS Alabama Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $61.66 Typical High $69.18 | Facility | None | $33.11 | $61.66 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $20.42 Typical High $69.18 | Professional | None | $15.49 | $20.42 | $69.18 |
United Setting Facility Modifier None Typical Low $54.95 Median $56.23 Typical High $75.86 | Facility | None | $54.95 | $56.23 | $75.86 |
United Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $30.90 | Professional | None | $12.02 | $16.22 | $30.90 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $13.18 Median $13.18 Typical High $14.79 | Professional | 59 · Distinct service | $13.18 | $13.18 | $14.79 |
Where Alabama sits
The same service costs 8.5 times more in Vermont than in Maryland. 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· 7th of 51
$64.57
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.