How much rates vary
Facilitymedian $3,981 · 10th to 90th $3,467 to $10,000Professionalmedian $3,467 · 10th to 90th $2,512 to $5,012
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 $3,467.37 Median $3,981.07 Typical High $5,370.32 | Facility | None | $3,467.37 | $3,981.07 | $5,370.32 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1,737.80 Median $1,995.26 Typical High $2,691.53 | Facility | 52 · Reduced service | $1,737.80 | $1,995.26 | $2,691.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $691.83 Median $794.33 Typical High $1,071.52 | Facility | 53 · Discontinued | $691.83 | $794.33 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $3,981.07 Typical High $5,011.87 | Professional | None (both parts) | $2,511.89 | $3,981.07 | $5,011.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,737.80 Median $1,995.26 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,737.80 | $1,995.26 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $794.33 Typical High $851.14 | Professional | 53 · Discontinued | $691.83 | $794.33 | $851.14 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $2,818.38 Median $2,951.21 Typical High $2,951.21 | Professional | None (both parts) | $2,818.38 | $2,951.21 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $4,897.79 Median $5,370.32 Typical High $8,511.38 | Professional | None (both parts) | $4,897.79 | $5,370.32 | $8,511.38 |
Health Alliance Plan Setting Facility Modifier None Typical Low $3,467.37 Median $3,981.07 Typical High $11,748.98 | Facility | None | $3,467.37 | $3,981.07 | $11,748.98 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $1,737.80 Median $1,995.26 Typical High $2,691.53 | Facility | 52 · Reduced service | $1,737.80 | $1,995.26 | $2,691.53 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $691.83 Median $794.33 Typical High $1,071.52 | Facility | 53 · Discontinued | $691.83 | $794.33 | $1,071.52 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,981.07 Typical High $5,370.32 | Professional | None (both parts) | $3,467.37 | $3,981.07 | $5,370.32 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,737.80 Median $1,737.80 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,737.80 | $1,737.80 | $1,995.26 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $691.83 Typical High $794.33 | Professional | 53 · Discontinued | $691.83 | $691.83 | $794.33 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $4,897.79 Median $4,897.79 Typical High $6,760.83 | Professional | None (both parts) | $4,897.79 | $4,897.79 | $6,760.83 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $3,801.89 Typical High $5,011.87 | Facility | None | $2,511.89 | $3,801.89 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,511.89 Typical High $4,168.69 | Professional | None (both parts) | $1,737.80 | $2,511.89 | $4,168.69 |
1 more rate 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 $3,981.07 Median $4,265.80 Typical High $4,265.80 | Professional | 26 · Professional part | $3,981.07 | $4,265.80 | $4,265.80 |
Where Michigan sits
The same service costs 67.6 times more in Texas 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· 26th of 51
$3,467
TX $20,893OH $309
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.