How much rates vary
Facilitymedian $417 · 10th to 90th $275 to $724Professionalmedian $245 · 10th to 90th $186 to $347
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 $239.88 Median $239.88 Typical High $309.03 | Facility | None | $239.88 | $239.88 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $199.53 | $245.47 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $69.18 | Professional | 26 · Professional part | $40.74 | $51.29 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $194.98 Typical High $257.04 | Professional | TC · Technical part | $154.88 | $194.98 | $257.04 |
BCBS Setting Facility Modifier None Typical Low $275.42 Median $407.38 Typical High $707.95 | Facility | None | $275.42 | $407.38 | $707.95 |
BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $323.59 Typical High $346.74 | Professional | None (both parts) | $257.04 | $323.59 | $346.74 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $323.59 Typical High $501.19 | Professional | None (both parts) | $162.18 | $323.59 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $63.10 Typical High $95.50 | Professional | 26 · Professional part | $30.90 | $63.10 | $95.50 |
Health Alliance Plan Setting Facility Modifier None Typical Low $245.47 Median $501.19 Typical High $1,071.52 | Facility | None | $245.47 | $501.19 | $1,071.52 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $407.38 Typical High $602.56 | Facility | TC · Technical part | $194.98 | $407.38 | $602.56 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $186.21 Median $245.47 Typical High $295.12 | Professional | None (both parts) | $186.21 | $245.47 | $295.12 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $60.26 | Professional | 26 · Professional part | $36.31 | $46.77 | $60.26 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $194.98 Typical High $239.88 | Professional | TC · Technical part | $151.36 | $194.98 | $239.88 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $218.78 | $288.40 | $478.63 |
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 $213.80 Median $239.88 Typical High $323.59 | Professional | None (both parts) | $213.80 | $239.88 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $50.12 Typical High $67.61 | Professional | 26 · Professional part | $44.67 | $50.12 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $263.03 | Professional | TC · Technical part | $169.82 | $190.55 | $263.03 |
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 $97.72 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $97.72 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $38.90 | $48.98 | $48.98 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $97.72 | $123.03 | $123.03 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $39.81 | $48.98 | $48.98 |
Where Michigan sits
The same service costs 3.8 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
$257
AK $708FL $186
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.