How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,349 to $3,548Professionalmedian $724 · 10th to 90th $129 to $1,778
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 $1,348.96 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,348.96 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,445.44 Typical High $2,344.23 | Professional | None (both parts) | $1,288.25 | $1,445.44 | $2,344.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $257.04 | Professional | 26 · Professional part | $81.28 | $83.18 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,445.44 Typical High $2,238.72 | Professional | TC · Technical part | $1,202.26 | $1,445.44 | $2,238.72 |
BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $2,187.76 Typical High $3,715.35 | Facility | None | $1,445.44 | $2,187.76 | $3,715.35 |
BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $134.90 | Professional | None (both parts) | $120.23 | $128.82 | $134.90 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $870.96 Typical High $1,659.59 | Professional | None (both parts) | $380.19 | $870.96 | $1,659.59 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,174.90 Median $1,348.96 Typical High $1,412.54 | Facility | None | $1,174.90 | $1,348.96 | $1,412.54 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $1,071.52 Median $1,862.09 Typical High $4,365.16 | Facility | TC · Technical part | $1,071.52 | $1,862.09 | $4,365.16 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $467.74 Median $660.69 Typical High $1,778.28 | Professional | None (both parts) | $467.74 | $660.69 | $1,778.28 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $74.13 | $87.10 | $117.49 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $562.34 Typical High $1,621.81 | Professional | TC · Technical part | $398.11 | $562.34 | $1,621.81 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $891.25 Typical High $1,659.59 | Professional | None (both parts) | $380.19 | $891.25 | $1,659.59 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $3,981.07 | Facility | None | $1,479.11 | $1,905.46 | $3,981.07 |
United Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,445.44 Typical High $2,089.30 | Professional | None (both parts) | $758.58 | $1,445.44 | $2,089.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $95.50 Typical High $147.91 | Professional | 26 · Professional part | $85.11 | $95.50 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $1,318.26 Typical High $1,995.26 | Professional | TC · Technical part | $676.08 | $1,318.26 | $1,995.26 |
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 $645.65 Median $724.44 Typical High $933.25 | Professional | 52 · Reduced service | $645.65 | $724.44 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $295.12 Typical High $371.54 | Professional | 53 · Discontinued | $257.04 | $295.12 | $371.54 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $691.83 | $707.95 | $707.95 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $275.42 | $281.84 | $281.84 |
Where Michigan sits
The same service costs 15.1 times more in Nebraska than in Washington. 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· 49th of 51
$851
NE $3,090WA $204
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.