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 $74.13 Median $109.65 Typical High $109.65 | Facility | None | $74.13 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $114.82 | Professional | None | $109.65 | $109.65 | $114.82 |
BCBS Alabama Setting Facility Modifier None Typical Low $120.23 Median $123.03 Typical High $123.03 | Facility | None | $120.23 | $123.03 | $123.03 |
BCBS Alabama Setting Professional Modifier 12 Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 12 | $107.15 | $107.15 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $114.82 Typical High $144.54 | Facility | None | $109.65 | $114.82 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $194.98 | Professional | None | $109.65 | $109.65 | $194.98 |
United Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
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 JZ · No drug discarded Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | JZ · No drug discarded | $107.15 | $107.15 | $107.15 |
Where Alabama sits
The same service costs 1.7 times more in Arizona than in Texas. 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· 24th of 51
$120
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.