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 $323.59 Median $954.99 Typical High $954.99 | Facility | None | $323.59 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $446.68 | Professional | None (both parts) | $426.58 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
BCBS Alabama Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $602.56 Typical High $933.25 | Facility | None | $416.87 | $602.56 | $933.25 |
United Setting Facility Modifier None Typical Low $407.38 Median $416.87 Typical High $562.34 | Facility | None | $407.38 | $416.87 | $562.34 |
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 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $125.89 | Professional | 26 · Professional part | $69.18 | $95.50 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $223.87 Typical High $338.84 | Professional | TC · Technical part | $204.17 | $223.87 | $338.84 |
Where Alabama sits
The same service costs 37.2 times more in Oklahoma than in Montana. 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
$427
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.