How much rates vary
Facilitymedian $339 · 10th to 90th $339 to $589Professionalmedian $240 · 10th to 90th $138 to $355
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 $245.47 Median $251.19 Typical High $251.19 | Facility | None | $245.47 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $257.04 Typical High $269.15 | Professional | None (both parts) | $208.93 | $257.04 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $27.54 | Professional | 26 · Professional part | $22.39 | $26.30 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $229.09 Typical High $239.88 | Professional | TC · Technical part | $186.21 | $229.09 | $239.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $602.56 | Facility | None | $338.84 | $338.84 | $602.56 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $34.67 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $34.67 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $309.03 Typical High $380.19 | Professional | None (both parts) | $154.88 | $309.03 | $380.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $154.88 Median $257.04 Typical High $407.38 | Facility | None | $154.88 | $257.04 | $407.38 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $138.04 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $138.04 | $208.93 | $275.42 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.30 Typical High $31.62 | Professional | 26 · Professional part | $19.05 | $26.30 | $31.62 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $186.21 Typical High $245.47 | Professional | TC · Technical part | $117.49 | $186.21 | $245.47 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $154.88 | $218.78 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $199.53 Typical High $275.42 | Professional | None (both parts) | $173.78 | $199.53 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $35.48 | Professional | 26 · Professional part | $22.39 | $25.70 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $169.82 Typical High $245.47 | Professional | TC · Technical part | $151.36 | $169.82 | $245.47 |
4 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 52 · Reduced service Typical Low $104.71 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $104.71 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $50.12 Typical High $51.29 | Professional | 53 · Discontinued | $41.69 | $50.12 | $51.29 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $117.49 | $128.82 | $128.82 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $46.77 | $51.29 | $51.29 |
Where Michigan sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 24th of 51
$257
AK $661KY $155
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.