How much rates vary
Facilitymedian $417 · 10th to 90th $234 to $851Professionalmedian $302 · 10th to 90th $148 to $417
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 $309.03 Typical High $323.59 | Facility | None | $302.00 | $309.03 | $323.59 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $275.42 Typical High $794.33 | Facility | TC · Technical part | $257.04 | $275.42 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $309.03 Typical High $380.19 | Professional | None (both parts) | $208.93 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $44.67 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $263.03 Typical High $316.23 | Professional | TC · Technical part | $173.78 | $263.03 | $316.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $48.98 Typical High $53.70 | Professional | 26 · Professional part | $30.90 | $48.98 | $53.70 |
BCBS Setting Facility Modifier None Typical Low $380.19 Median $575.44 Typical High $977.24 | Facility | None | $380.19 | $575.44 | $977.24 |
BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $416.87 Typical High $446.68 | Professional | None (both parts) | $57.54 | $416.87 | $446.68 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $281.84 Typical High $467.74 | Professional | None (both parts) | $199.53 | $281.84 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $54.95 Typical High $87.10 | Professional | 26 · Professional part | $30.90 | $54.95 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $263.03 Typical High $524.81 | Professional | TC · Technical part | $165.96 | $263.03 | $524.81 |
Health Alliance Plan Setting Facility Modifier None Typical Low $204.17 Median $407.38 Typical High $851.14 | Facility | None | $204.17 | $407.38 | $851.14 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $79.43 | Facility | 26 · Professional part | $44.67 | $46.77 | $79.43 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $323.59 Typical High $602.56 | Facility | TC · Technical part | $257.04 | $323.59 | $602.56 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $147.91 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $147.91 | $223.87 | $338.84 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $57.54 | Professional | 26 · Professional part | $27.54 | $39.81 | $57.54 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $181.97 Typical High $295.12 | Professional | TC · Technical part | $120.23 | $181.97 | $295.12 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $302.00 Typical High $446.68 | Professional | None (both parts) | $199.53 | $302.00 | $446.68 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $57.54 Typical High $74.13 | Professional | 26 · Professional part | $32.36 | $57.54 | $74.13 |
United Setting Facility Modifier None Typical Low $138.04 Median $181.97 Typical High $380.19 | Facility | None | $138.04 | $181.97 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $263.03 Typical High $389.05 | Professional | None (both parts) | $169.82 | $263.03 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $58.88 | Professional | 26 · Professional part | $32.36 | $41.69 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $229.09 Typical High $331.13 | Professional | TC · Technical part | $134.90 | $229.09 | $331.13 |
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 $128.82 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $128.82 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $51.29 | $61.66 | $61.66 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $151.36 | $151.36 | $151.36 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $60.26 | $60.26 | $60.26 |
Where Michigan sits
The same service costs 4.4 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· 26th of 51
$309
AK $977KY $224
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.