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 Professional Modifier None (both parts) Typical Low $177.83 Median $467.74 Typical High $645.65 | Professional | None (both parts) | $177.83 | $467.74 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Health Alliance Plan Setting Facility Modifier None Typical Low $64.57 Median $125.89 Typical High $676.08 | Facility | None | $64.57 | $125.89 | $676.08 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $229.09 Median $257.04 Typical High $309.03 | Professional | None (both parts) | $229.09 | $257.04 | $309.03 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
United Setting Facility Modifier None Typical Low $89.13 Median $117.49 Typical High $245.47 | Facility | None | $89.13 | $117.49 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
2 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 TC · Technical part Typical Low $41.69 Median $51.29 Typical High $63.10 | Professional | TC · Technical part | $41.69 | $51.29 | $63.10 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $51.29 Typical High $63.10 | Professional | TC · Technical part | $41.69 | $51.29 | $63.10 |
Where Michigan sits
The same service costs 20.9 times more in New Hampshire 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.
Michigan· 15th of 51
$229
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.