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 Typical Low $11.75 Median $14.13 Typical High $21.88 | Professional | None | $11.75 | $14.13 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $5.75 Typical High $10.96 | Professional | 52 · Reduced service | $5.75 | $5.75 | $10.96 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $18.20 Typical High $20.42 | Professional | None | $16.60 | $18.20 | $20.42 |
BCBS Alabama Setting Facility Modifier None Typical Low $34.67 Median $35.48 Typical High $35.48 | Facility | None | $34.67 | $35.48 | $35.48 |
BCBS Alabama Setting Professional Modifier 12 + 32 · Mandated service Typical Low $12.88 Median $17.38 Typical High $24.55 | Professional | 12 + 32 · Mandated service | $12.88 | $17.38 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
United Setting Facility Modifier None Typical Low $43.65 Median $45.71 Typical High $60.26 | Facility | None | $43.65 | $45.71 | $60.26 |
United Setting Professional Modifier None Typical Low $7.76 Median $12.88 Typical High $19.50 | Professional | None | $7.76 | $12.88 | $19.50 |
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 $14.45 Median $16.98 Typical High $17.78 | Professional | 59 · Distinct service | $14.45 | $16.98 | $17.78 |
Where Alabama sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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· 38th of 51
$15.14
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.