How much rates vary
Facilitymedian $17 · 10th to 90th $17 to $32Professionalmedian $17 · 10th to 90th $11 to $22
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 $17.38 Median $17.38 Typical High $27.54 | Facility | None | $17.38 | $17.38 | $27.54 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $8.71 Median $8.71 Typical High $13.49 | Facility | 52 · Reduced service | $8.71 | $8.71 | $13.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $5.50 | Facility | 53 · Discontinued | $3.47 | $3.47 | $5.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $17.78 Typical High $18.62 | Professional | None (both parts) | $15.49 | $17.78 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $8.91 Typical High $9.33 | Professional | 52 · Reduced service | $7.76 | $8.91 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.55 Typical High $3.72 | Professional | 53 · Discontinued | $3.16 | $3.55 | $3.72 |
BCBS Michigan Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $12.30 Median $12.88 Typical High $14.13 | Professional | None (both parts) | $12.30 | $12.88 | $14.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $22.39 Typical High $28.18 | Professional | None (both parts) | $20.89 | $22.39 | $28.18 |
Health Alliance Plan Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $51.29 | Facility | None | $17.38 | $17.38 | $51.29 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $8.71 Median $8.71 Typical High $13.49 | Facility | 52 · Reduced service | $8.71 | $8.71 | $13.49 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $5.50 | Facility | 53 · Discontinued | $3.47 | $3.47 | $5.50 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $17.38 Median $17.78 Typical High $22.91 | Professional | None (both parts) | $17.38 | $17.78 | $22.91 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $8.71 | $8.71 | $8.71 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $3.47 | $3.47 | $3.47 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $22.39 | Professional | None (both parts) | $20.89 | $20.89 | $22.39 |
United Setting Facility Modifier None Typical Low $10.96 Median $16.60 Typical High $21.88 | Facility | None | $10.96 | $16.60 | $21.88 |
United Setting Professional Modifier None (both parts) Typical Low $7.76 Median $10.96 Typical High $18.20 | Professional | None (both parts) | $7.76 | $10.96 | $18.20 |
2 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 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $18.62 | Professional | 26 · Professional part | $15.49 | $18.20 | $18.62 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $17.38 | $17.38 | $17.38 |
Where Michigan sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 24th of 51
$17.38
AK $37.15KY $9.33
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.