How much rates vary
Facilitymedian $363 · 10th to 90th $240 to $661Professionalmedian $224 · 10th to 90th $170 to $302
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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $169.82 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $44.67 | Professional | 26 · Professional part | $35.48 | $43.65 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $134.90 | $165.96 | $165.96 |
BCBS Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $616.60 | Facility | None | $239.88 | $363.08 | $616.60 |
BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $281.84 Typical High $302.00 | Professional | None (both parts) | $75.86 | $281.84 | $302.00 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
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 $295.12 Typical High $436.52 | Professional | None (both parts) | $141.25 | $295.12 | $436.52 |
Health Alliance Plan Setting Facility Modifier None Typical Low $204.17 Median $457.09 Typical High $501.19 | Facility | None | $204.17 | $457.09 | $501.19 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $169.82 Median $204.17 Typical High $263.03 | Professional | None (both parts) | $169.82 | $204.17 | $263.03 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $50.12 | Professional | 26 · Professional part | $31.62 | $40.74 | $50.12 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $162.18 Typical High $213.80 | Professional | TC · Technical part | $138.04 | $162.18 | $213.80 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $251.19 Typical High $416.87 | Professional | None (both parts) | $181.97 | $251.19 | $416.87 |
United Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $1,513.56 | Facility | None | $562.34 | $724.44 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $295.12 | Professional | None (both parts) | $190.55 | $223.87 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $57.54 | Professional | 26 · Professional part | $38.02 | $43.65 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $177.83 Typical High $239.88 | Professional | TC · Technical part | $151.36 | $177.83 | $239.88 |
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 $81.28 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $81.28 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $33.11 | $41.69 | $41.69 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $83.18 | $102.33 | $102.33 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $33.88 | $41.69 | $41.69 |
Where Michigan sits
The same service costs 4.7 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· 36th of 51
$224
AK $741TX $158
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.