How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $0.05 Median $0.05 Typical High $0.05 | Facility | None | $0.05 | $0.05 | $0.05 |
Aetna Setting Professional Modifier None Typical Low $0.06 Median $0.06 Typical High $0.08 | Professional | None | $0.06 | $0.06 | $0.08 |
Ambetter Setting Professional Modifier None Typical Low $5.01 Median $6.03 Typical High $7.94 | Professional | None | $5.01 | $6.03 | $7.94 |
BCBS Alabama Setting Professional Modifier 12 + 21 + 22 · Increased work + 31 + 32 · Mandated service + 41 + 52 · Reduced service + 93 · Audio-only telehealth Typical Low $0.51 Median $0.51 Typical High $0.51 | Professional | 12 + 21 + 22 · Increased work + 31 + 32 · Mandated service + 41 + 52 · Reduced service + 93 · Audio-only telehealth | $0.51 | $0.51 | $0.51 |
Cigna Setting Facility Modifier None Typical Low $0.06 Median $0.06 Typical High $0.08 | Facility | None | $0.06 | $0.06 | $0.08 |
Cigna Setting Professional Modifier None Typical Low $0.06 Median $0.06 Typical High $0.49 | Professional | None | $0.06 | $0.06 | $0.49 |
United Setting Professional Modifier None Typical Low $0.03 Median $0.08 Typical High $0.08 | Professional | None | $0.03 | $0.08 | $0.08 |
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 $7.08 Median $7.08 Typical High $8.91 | Professional | JZ · No drug discarded | $7.08 | $7.08 | $8.91 |
Where Alabama sits
The same service costs 12.0 times more in Oklahoma than in Delaware. 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· 15th of 51
$0.08
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.