How much rates vary
Facilitymedian $363 · 10th to 90th $240 to $617Professionalmedian $219 · 10th to 90th $151 to $288
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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $177.83 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $51.29 | Professional | 26 · Professional part | $40.74 | $50.12 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $138.04 | $169.82 | $169.82 |
BCBS Setting Facility Modifier None Typical Low $239.88 Median $354.81 Typical High $616.60 | Facility | None | $239.88 | $354.81 | $616.60 |
BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $275.42 Typical High $288.40 | Professional | None (both parts) | $223.87 | $275.42 | $288.40 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $69.18 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $223.87 Typical High $416.87 | Professional | None (both parts) | $141.25 | $223.87 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $50.12 Typical High $87.10 | Professional | 26 · Professional part | $30.20 | $50.12 | $87.10 |
Health Alliance Plan Setting Facility Modifier None Typical Low $218.78 Median $407.38 Typical High $446.68 | Facility | None | $218.78 | $407.38 | $446.68 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $151.36 Median $194.98 Typical High $234.42 | Professional | None (both parts) | $151.36 | $194.98 | $234.42 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $51.29 | Professional | 26 · Professional part | $33.11 | $42.66 | $51.29 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $154.88 Typical High $181.97 | Professional | TC · Technical part | $117.49 | $154.88 | $181.97 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $257.04 Typical High $416.87 | Professional | None (both parts) | $190.55 | $257.04 | $416.87 |
United Setting Facility Modifier None Typical Low $407.38 Median $537.03 Typical High $1,122.02 | Facility | None | $407.38 | $537.03 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $186.21 | $208.93 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $63.10 | Professional | 26 · Professional part | $41.69 | $46.77 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $162.18 Typical High $223.87 | Professional | TC · Technical part | $141.25 | $162.18 | $223.87 |
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 $87.10 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $87.10 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $34.67 | $43.65 | $43.65 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $89.13 | $109.65 | $109.65 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $35.48 | $43.65 | $43.65 |
Where Michigan sits
The same service costs 5.0 times more in Alaska than in Texas. 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· 40th of 51
$219
AK $776TX $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.