How much rates vary
Facilitymedian $631 · 10th to 90th $550 to $1,585Professionalmedian $631 · 10th to 90th $398 to $794
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 $549.54 Median $630.96 Typical High $851.14 | Facility | None | $549.54 | $630.96 | $851.14 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $275.42 Median $316.23 Typical High $426.58 | Facility | 52 · Reduced service | $275.42 | $316.23 | $426.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $109.65 Median $125.89 Typical High $169.82 | Facility | 53 · Discontinued | $109.65 | $125.89 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $537.03 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $316.23 Typical High $331.13 | Professional | 52 · Reduced service | $275.42 | $316.23 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $125.89 Typical High $134.90 | Professional | 53 · Discontinued | $109.65 | $125.89 | $134.90 |
BCBS Michigan Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $436.52 Median $467.74 Typical High $512.86 | Professional | None (both parts) | $436.52 | $467.74 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $758.58 Typical High $954.99 | Professional | None (both parts) | $660.69 | $758.58 | $954.99 |
Health Alliance Plan Setting Facility Modifier None Typical Low $549.54 Median $630.96 Typical High $1,862.09 | Facility | None | $549.54 | $630.96 | $1,862.09 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $275.42 Median $316.23 Typical High $426.58 | Facility | 52 · Reduced service | $275.42 | $316.23 | $426.58 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $109.65 Median $125.89 Typical High $169.82 | Facility | 53 · Discontinued | $109.65 | $125.89 | $169.82 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $549.54 Median $630.96 Typical High $851.14 | Professional | None (both parts) | $549.54 | $630.96 | $851.14 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $281.84 Typical High $316.23 | Professional | 52 · Reduced service | $275.42 | $281.84 | $316.23 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $112.20 Typical High $125.89 | Professional | 53 · Discontinued | $109.65 | $112.20 | $125.89 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $660.69 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $660.69 | $758.58 | $758.58 |
United Setting Facility Modifier None Typical Low $398.11 Median $602.56 Typical High $794.33 | Facility | None | $398.11 | $602.56 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $660.69 | Professional | None (both parts) | $275.42 | $398.11 | $660.69 |
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 $630.96 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $630.96 | $676.08 | $676.08 |
Where Michigan sits
The same service costs 114.8 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· 19th of 51
$631
WI $955AL $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.