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 |
|---|---|---|---|---|---|
BCBS Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $204.17 Typical High $239.88 | Professional | 26 · Professional part | $186.21 | $204.17 | $239.88 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $281.84 Typical High $1,023.29 | Facility | None | $162.18 | $281.84 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $549.54 Typical High $1,862.09 | Professional | None (both parts) | $181.97 | $549.54 | $1,862.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $275.42 Typical High $1,023.29 | Professional | 26 · Professional part | $181.97 | $275.42 | $1,023.29 |
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 |
|---|---|---|---|---|---|
Medica Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $338.84 Typical High $2,344.23 | Professional | TC · Technical part | $302.00 | $338.84 | $2,344.23 |