How much rates vary
Facilitymedian $17 · 10th to 90th $15 to $30Professionalmedian $17 · 10th to 90th $10 to $21
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 $16.60 Median $16.60 Typical High $25.70 | Facility | None | $16.60 | $16.60 | $25.70 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $8.13 Median $8.13 Typical High $12.88 | Facility | 52 · Reduced service | $8.13 | $8.13 | $12.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $5.13 | Facility | 53 · Discontinued | $3.31 | $3.31 | $5.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $16.60 Typical High $17.38 | Professional | None (both parts) | $14.79 | $16.60 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $8.32 Typical High $8.71 | Professional | 52 · Reduced service | $7.41 | $8.32 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.31 Typical High $3.47 | Professional | 53 · Discontinued | $2.95 | $3.31 | $3.47 |
BCBS Michigan Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $11.48 Median $12.02 Typical High $13.18 | Professional | None (both parts) | $11.48 | $12.02 | $13.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $20.89 Typical High $26.30 | Professional | None (both parts) | $19.95 | $20.89 | $26.30 |
Health Alliance Plan Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $47.86 | Facility | None | $16.60 | $16.60 | $47.86 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $8.13 Median $8.13 Typical High $12.88 | Facility | 52 · Reduced service | $8.13 | $8.13 | $12.88 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $5.13 | Facility | 53 · Discontinued | $3.31 | $3.31 | $5.13 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $16.60 Median $16.60 Typical High $21.38 | Professional | None (both parts) | $16.60 | $16.60 | $21.38 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 52 · Reduced service | $8.13 | $8.13 | $8.13 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | 53 · Discontinued | $3.31 | $3.31 | $3.31 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $20.89 | Professional | None (both parts) | $19.95 | $19.95 | $20.89 |
United Setting Facility Modifier None Typical Low $10.47 Median $15.49 Typical High $20.89 | Facility | None | $10.47 | $15.49 | $20.89 |
United Setting Professional Modifier None (both parts) Typical Low $7.24 Median $10.47 Typical High $17.38 | Professional | None (both parts) | $7.24 | $10.47 | $17.38 |
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 $14.79 Median $16.98 Typical High $17.38 | Professional | 26 · Professional part | $14.79 | $16.98 | $17.38 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $16.60 | $16.60 | $16.60 |
Where Michigan sits
The same service costs 3.3 times more in Alaska than in New Mexico. 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· 25th of 51
$16.60
AK $34.67NM $10.47
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.