How much rates vary
Facilitymedian $100 · 10th to 90th $34 to $158Professionalmedian $100 · 10th to 90th $85 to $129
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 $87.10 Median $100.00 Typical High $144.54 | Facility | None | $87.10 | $100.00 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $97.72 Typical High $114.82 | Professional | None | $85.11 | $97.72 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $77.62 Median $81.28 Typical High $102.33 | Professional | None | $77.62 | $81.28 | $102.33 |
BCBS Setting Facility Modifier None Typical Low $20.89 Median $54.95 Typical High $128.82 | Facility | None | $20.89 | $54.95 | $128.82 |
BCBS Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $147.91 | Professional | None | $100.00 | $120.23 | $147.91 |
CareSource Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $141.25 | Professional | None | $83.18 | $102.33 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $114.82 | Professional | None | $57.54 | $57.54 | $114.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $77.62 Median $107.15 Typical High $263.03 | Facility | None | $77.62 | $107.15 | $263.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $85.11 Median $97.72 Typical High $114.82 | Professional | None | $85.11 | $97.72 | $114.82 |
Priority Health Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $114.82 | Professional | None | $57.54 | $57.54 | $114.82 |
United Setting Facility Modifier None Typical Low $181.97 Median $239.88 Typical High $501.19 | Facility | None | $181.97 | $239.88 | $501.19 |
United Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $123.03 | Professional | None | $91.20 | $91.20 | $123.03 |
14 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 AF · Specialist physician Typical Low $114.82 Median $114.82 Typical High $120.23 | Facility | AF · Specialist physician | $114.82 | $114.82 | $120.23 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $85.11 Median $85.11 Typical High $91.20 | Facility | HO · Master's level | $85.11 | $85.11 | $91.20 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $97.72 Median $97.72 Typical High $102.33 | Facility | TD · Registered nurse | $97.72 | $97.72 | $102.33 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $70.79 Median $114.82 Typical High $120.23 | Professional | AF · Specialist physician | $70.79 | $114.82 | $120.23 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $67.61 Median $91.20 Typical High $91.20 | Professional | HO · Master's level | $67.61 | $91.20 | $91.20 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $67.61 Median $102.33 Typical High $102.33 | Professional | TD · Registered nurse | $67.61 | $102.33 | $102.33 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 59 · Distinct service | $81.28 | $81.28 | $81.28 |
BCBS Setting Professional Modifier HO · Master's level Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | HO · Master's level | $125.89 | $125.89 | $125.89 |
Health Alliance Plan Setting Facility Modifier AF · Specialist physician Typical Low $114.82 Median $114.82 Typical High $120.23 | Facility | AF · Specialist physician | $114.82 | $114.82 | $120.23 |
Health Alliance Plan Setting Facility Modifier HO · Master's level Typical Low $85.11 Median $85.11 Typical High $91.20 | Facility | HO · Master's level | $85.11 | $85.11 | $91.20 |
Health Alliance Plan Setting Facility Modifier TD · Registered nurse Typical Low $97.72 Median $97.72 Typical High $102.33 | Facility | TD · Registered nurse | $97.72 | $97.72 | $102.33 |
Health Alliance Plan Setting Professional Modifier AF · Specialist physician Typical Low $70.79 Median $114.82 Typical High $120.23 | Professional | AF · Specialist physician | $70.79 | $114.82 | $120.23 |
Health Alliance Plan Setting Professional Modifier HO · Master's level Typical Low $67.61 Median $190.55 Typical High $190.55 | Professional | HO · Master's level | $67.61 | $190.55 | $190.55 |
Health Alliance Plan Setting Professional Modifier TD · Registered nurse Typical Low $67.61 Median $97.72 Typical High $102.33 | Professional | TD · Registered nurse | $67.61 | $97.72 | $102.33 |
Where Michigan sits
The same service costs 1.7 times more in Alaska than in Ohio. 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· 17th of 51
$100
AK $132OH $75.86
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.