How much rates vary
Facilitymedian $135 · 10th to 90th $59 to $676Professionalmedian $78 · 10th to 90th $54 to $112
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 $77.62 Median $77.62 Typical High $81.28 | Facility | None | $77.62 | $77.62 | $81.28 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.02 Median $41.69 Typical High $114.82 | Facility | TC · Technical part | $38.02 | $41.69 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $102.33 | Professional | None (both parts) | $64.57 | $77.62 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $28.84 | $38.90 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $39.81 Typical High $50.12 | Professional | TC · Technical part | $35.48 | $39.81 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $47.86 | Professional | 26 · Professional part | $33.11 | $42.66 | $47.86 |
BCBS Setting Facility Modifier None Typical Low $56.23 Median $85.11 Typical High $144.54 | Facility | None | $56.23 | $85.11 | $144.54 |
BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $104.71 Typical High $112.20 | Professional | None (both parts) | $50.12 | $104.71 | $112.20 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $56.23 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $95.50 Typical High $154.88 | Professional | None (both parts) | $56.23 | $95.50 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $27.54 | $48.98 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.90 Typical High $79.43 | Professional | TC · Technical part | $30.90 | $38.90 | $79.43 |
Health Alliance Plan Setting Facility Modifier None Typical Low $77.62 Median $323.59 Typical High $954.99 | Facility | None | $77.62 | $323.59 | $954.99 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $72.44 | Facility | 26 · Professional part | $38.90 | $40.74 | $72.44 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $54.95 Typical High $114.82 | Facility | TC · Technical part | $37.15 | $54.95 | $114.82 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $53.70 Median $75.86 Typical High $93.33 | Professional | None (both parts) | $53.70 | $75.86 | $93.33 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $24.55 | $35.48 | $53.70 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $37.15 Typical High $50.12 | Professional | TC · Technical part | $28.84 | $37.15 | $50.12 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $83.18 Typical High $141.25 | Professional | None (both parts) | $56.23 | $83.18 | $141.25 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $50.12 Typical High $66.07 | Professional | 26 · Professional part | $28.18 | $50.12 | $66.07 |
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 $66.07 Median $77.62 Typical High $107.15 | Professional | None (both parts) | $66.07 | $77.62 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $53.70 | Professional | 26 · Professional part | $28.18 | $36.31 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $41.69 Typical High $60.26 | Professional | TC · Technical part | $33.88 | $41.69 | $60.26 |
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 $30.90 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $30.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $12.30 | $15.49 | $15.49 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $32.36 | $38.02 | $38.02 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $12.88 | $15.14 | $15.14 |
Where Michigan sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 36th of 51
$77.62
AK $257FL $54.95
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.