How much rates vary
Facilitymedian $158 · 10th to 90th $115 to $288Professionalmedian $145 · 10th to 90th $55 to $214
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 $112.20 Median $112.20 Typical High $114.82 | Facility | None | $112.20 | $112.20 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $83.18 Typical High $162.18 | Facility | TC · Technical part | $79.43 | $83.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $112.20 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $30.20 | $32.36 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $83.18 | $95.50 | $95.50 |
BCBS Setting Facility Modifier None Typical Low $120.23 Median $173.78 Typical High $295.12 | Facility | None | $120.23 | $173.78 | $295.12 |
BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $199.53 Typical High $213.80 | Professional | None (both parts) | $141.25 | $199.53 | $213.80 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $158.49 | $158.49 | $158.49 |
CareSource Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $64.57 Typical High $177.83 | Professional | None (both parts) | $34.67 | $64.57 | $177.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $58.88 Median $147.91 Typical High $162.18 | Facility | None | $58.88 | $147.91 | $162.18 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $162.18 | Facility | TC · Technical part | $79.43 | $97.72 | $162.18 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $54.95 Median $79.43 Typical High $144.54 | Professional | None (both parts) | $54.95 | $79.43 | $144.54 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $27.54 Typical High $40.74 | Professional | 26 · Professional part | $18.62 | $27.54 | $40.74 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $53.70 Typical High $104.71 | Professional | TC · Technical part | $36.31 | $53.70 | $104.71 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $56.23 Typical High $165.96 | Professional | None (both parts) | $34.67 | $56.23 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $79.43 Typical High $169.82 | Professional | None (both parts) | $46.77 | $79.43 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $26.92 Typical High $53.70 | Professional | 26 · Professional part | $15.85 | $26.92 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $54.95 Typical High $114.82 | Professional | TC · Technical part | $30.90 | $54.95 | $114.82 |
8 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 Facility Modifier 52 · Reduced service Typical Low $38.90 Median $48.98 Typical High $81.28 | Facility | 52 · Reduced service | $38.90 | $48.98 | $81.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $19.50 Typical High $33.11 | Facility | 53 · Discontinued | $15.85 | $19.50 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $56.23 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $22.39 | $25.70 | $25.70 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $38.90 Median $46.77 Typical High $81.28 | Facility | 52 · Reduced service | $38.90 | $46.77 | $81.28 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $19.05 Typical High $33.11 | Facility | 53 · Discontinued | $15.85 | $19.05 | $33.11 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $54.95 | $72.44 | $72.44 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $21.88 | $28.84 | $28.84 |
Where Michigan sits
The same service costs 4.6 times more in Alaska than in Alabama. 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· 19th of 51
$145
AK $269AL $58.88
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.