How much rates vary
Facilitymedian $355 · 10th to 90th $162 to $617Professionalmedian $170 · 10th to 90th $126 to $251
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 $162.18 Median $162.18 Typical High $173.78 | Facility | None | $162.18 | $162.18 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $169.82 Typical High $181.97 | Professional | None (both parts) | $158.49 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $93.33 | Professional | 26 · Professional part | $83.18 | $87.10 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $81.28 Typical High $87.10 | Professional | TC · Technical part | $72.44 | $81.28 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
BCBS Setting Facility Modifier None Typical Low $169.82 Median $380.19 Typical High $741.31 | Facility | None | $169.82 | $380.19 | $741.31 |
BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $269.15 | Professional | None (both parts) | $125.89 | $125.89 | $269.15 |
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 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $134.90 | $134.90 | $134.90 |
CareSource Setting Professional Modifier None (both parts) Typical Low $67.61 Median $100.00 Typical High $190.55 | Professional | None (both parts) | $67.61 | $100.00 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $208.93 Typical High $512.86 | Professional | None (both parts) | $123.03 | $208.93 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $97.72 Typical High $234.42 | Professional | 26 · Professional part | $60.26 | $97.72 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $109.65 Typical High $281.84 | Professional | TC · Technical part | $63.10 | $109.65 | $281.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $181.97 Median $363.08 Typical High $398.11 | Facility | None | $181.97 | $363.08 | $398.11 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $134.90 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $134.90 | $181.97 | $213.80 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $109.65 | Professional | 26 · Professional part | $77.62 | $93.33 | $109.65 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $89.13 Typical High $107.15 | Professional | TC · Technical part | $58.88 | $89.13 | $107.15 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $208.93 Typical High $309.03 | Professional | None (both parts) | $123.03 | $208.93 | $309.03 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $60.26 | $97.72 | $165.96 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $100.00 Typical High $169.82 | Professional | TC · Technical part | $66.07 | $100.00 | $169.82 |
United Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $371.54 | Facility | None | $138.04 | $177.83 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $173.78 Typical High $213.80 | Professional | None (both parts) | $117.49 | $173.78 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $107.15 | Professional | 26 · Professional part | $75.86 | $91.20 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $91.20 Typical High $107.15 | Professional | TC · Technical part | $38.02 | $91.20 | $107.15 |
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 $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $81.28 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.11 | $33.88 | $33.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $91.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $36.31 | $36.31 | $36.31 |
Where Michigan sits
The same service costs 3.9 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· 30th of 51
$170
AK $398TX $102
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.