How much rates vary
Facilitymedian $1,950 · 10th to 90th $1,738 to $5,012Professionalmedian $1,778 · 10th to 90th $1,259 to $2,512
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 $1,737.80 Median $1,949.84 Typical High $2,691.53 | Facility | None | $1,737.80 | $1,949.84 | $2,691.53 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $870.96 Median $977.24 Typical High $1,348.96 | Facility | 52 · Reduced service | $870.96 | $977.24 | $1,348.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $346.74 Median $398.11 Typical High $537.03 | Facility | 53 · Discontinued | $346.74 | $398.11 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,778.28 Typical High $2,137.96 | Professional | None (both parts) | $1,659.59 | $1,778.28 | $2,137.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $870.96 Median $1,000.00 Typical High $1,047.13 | Professional | 52 · Reduced service | $870.96 | $1,000.00 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $398.11 Typical High $416.87 | Professional | 53 · Discontinued | $346.74 | $398.11 | $416.87 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,445.44 Typical High $1,584.89 | Professional | None (both parts) | $1,380.38 | $1,445.44 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,398.83 Typical High $2,951.21 | Professional | None (both parts) | $2,089.30 | $2,398.83 | $2,951.21 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $5,754.40 | Facility | None | $1,737.80 | $1,949.84 | $5,754.40 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $870.96 Median $977.24 Typical High $1,348.96 | Facility | 52 · Reduced service | $870.96 | $977.24 | $1,348.96 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $346.74 Median $398.11 Typical High $537.03 | Facility | 53 · Discontinued | $346.74 | $398.11 | $537.03 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,995.26 Typical High $2,630.27 | Professional | None (both parts) | $1,737.80 | $1,995.26 | $2,630.27 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $870.96 Median $891.25 Typical High $977.24 | Professional | 52 · Reduced service | $870.96 | $891.25 | $977.24 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $354.81 Typical High $398.11 | Professional | 53 · Discontinued | $346.74 | $354.81 | $398.11 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,398.83 Typical High $2,398.83 | Professional | None (both parts) | $2,089.30 | $2,398.83 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,862.09 Typical High $2,511.89 | Facility | None | $1,258.93 | $1,862.09 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,258.93 Typical High $2,089.30 | Professional | None (both parts) | $870.96 | $1,258.93 | $2,089.30 |
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 $1,995.26 Median $2,089.30 Typical High $2,089.30 | Professional | 26 · Professional part | $1,995.26 | $2,089.30 | $2,089.30 |
Where Michigan sits
The same service costs 354.8 times more in Wisconsin than in Alabama. 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· 20th of 51
$1,950
WI $2,951AL $8.32
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.