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 $17.78 Median $58.88 Typical High $58.88 | Facility | None | $17.78 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $21.38 Typical High $21.38 | Professional | None | $19.50 | $21.38 | $21.38 |
BCBS Alabama Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
BCBS Alabama Setting Professional Modifier 10 + 12 + 32 · Mandated service Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 10 + 12 + 32 · Mandated service | $25.12 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $32.36 | Professional | None | $20.89 | $22.91 | $32.36 |
United Setting Facility Modifier None Typical Low $117.49 Median $123.03 Typical High $162.18 | Facility | None | $117.49 | $123.03 | $162.18 |
United Setting Professional Modifier None Typical Low $38.90 Median $50.12 Typical High $67.61 | Professional | None | $38.90 | $50.12 | $67.61 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | HN · Bachelor's level | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier HO · Master's level Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | HO · Master's level | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier HP · Doctoral level Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | HP · Doctoral level | $30.20 | $30.20 | $30.20 |
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 U3 · State-defined Typical Low $26.92 Median $26.92 Typical High $29.51 | Professional | U3 · State-defined | $26.92 | $26.92 | $29.51 |
Where Alabama sits
The same service costs 4.8 times more in Wyoming than in West Virginia. 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· 37th of 51
$21.38
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.