How much rates vary
Facilitymedian $347 · 10th to 90th $302 to $871Professionalmedian $302 · 10th to 90th $219 to $437
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 $302.00 Median $346.74 Typical High $467.74 | Facility | None | $302.00 | $346.74 | $467.74 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $151.36 Median $169.82 Typical High $234.42 | Facility | 52 · Reduced service | $151.36 | $169.82 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $69.18 Typical High $93.33 | Facility | 53 · Discontinued | $60.26 | $69.18 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $831.76 | Professional | None (both parts) | $288.40 | $346.74 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $177.83 Typical High $181.97 | Professional | 52 · Reduced service | $154.88 | $177.83 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $70.79 Typical High $72.44 | Professional | 53 · Discontinued | $61.66 | $70.79 | $72.44 |
BCBS Michigan Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $239.88 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $239.88 | $251.19 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $416.87 Typical High $457.09 | Professional | None (both parts) | $363.08 | $416.87 | $457.09 |
Health Alliance Plan Setting Facility Modifier None Typical Low $302.00 Median $346.74 Typical High $1,000.00 | Facility | None | $302.00 | $346.74 | $1,000.00 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $151.36 Median $169.82 Typical High $234.42 | Facility | 52 · Reduced service | $151.36 | $169.82 | $234.42 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $69.18 Typical High $93.33 | Facility | 53 · Discontinued | $60.26 | $69.18 | $93.33 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $302.00 Median $346.74 Typical High $457.09 | Professional | None (both parts) | $302.00 | $346.74 | $457.09 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $151.36 Typical High $169.82 | Professional | 52 · Reduced service | $151.36 | $151.36 | $169.82 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $69.18 | Professional | 53 · Discontinued | $60.26 | $60.26 | $69.18 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $416.87 | Professional | None (both parts) | $363.08 | $363.08 | $416.87 |
United Setting Facility Modifier None Typical Low $218.78 Median $323.59 Typical High $436.52 | Facility | None | $218.78 | $323.59 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $363.08 | Professional | None (both parts) | $151.36 | $218.78 | $363.08 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $346.74 | $363.08 | $363.08 |
Where Michigan sits
The same service costs 12.0 times more in Texas than in New Mexico. 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.
Michigan· 25th of 51
$302
TX $1,820NM $151
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.