How much rates vary
Facilitymedian $759 · 10th to 90th $661 to $1,905Professionalmedian $661 · 10th to 90th $479 to $955
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 $660.69 Median $758.58 Typical High $1,023.29 | Facility | None | $660.69 | $758.58 | $1,023.29 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $331.13 Median $380.19 Typical High $512.86 | Facility | 52 · Reduced service | $331.13 | $380.19 | $512.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $131.83 Median $151.36 Typical High $204.17 | Facility | 53 · Discontinued | $131.83 | $151.36 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $676.08 Typical High $933.25 | Professional | None (both parts) | $630.96 | $676.08 | $933.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $380.19 Typical High $398.11 | Professional | 52 · Reduced service | $331.13 | $380.19 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $151.36 Typical High $162.18 | Professional | 53 · Discontinued | $131.83 | $151.36 | $162.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $524.81 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $524.81 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $912.01 Typical High $1,023.29 | Professional | None (both parts) | $794.33 | $912.01 | $1,023.29 |
Health Alliance Plan Setting Facility Modifier None Typical Low $660.69 Median $758.58 Typical High $2,238.72 | Facility | None | $660.69 | $758.58 | $2,238.72 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $331.13 Median $380.19 Typical High $512.86 | Facility | 52 · Reduced service | $331.13 | $380.19 | $512.86 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $131.83 Median $151.36 Typical High $204.17 | Facility | 53 · Discontinued | $131.83 | $151.36 | $204.17 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $660.69 Median $758.58 Typical High $1,023.29 | Professional | None (both parts) | $660.69 | $758.58 | $1,023.29 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $331.13 Typical High $380.19 | Professional | 52 · Reduced service | $331.13 | $331.13 | $380.19 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $151.36 | Professional | 53 · Discontinued | $131.83 | $131.83 | $151.36 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $912.01 | Professional | None (both parts) | $794.33 | $794.33 | $912.01 |
United Setting Facility Modifier None Typical Low $478.63 Median $707.95 Typical High $954.99 | Facility | None | $478.63 | $707.95 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $478.63 Typical High $794.33 | Professional | None (both parts) | $331.13 | $478.63 | $794.33 |
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 $758.58 Median $794.33 Typical High $794.33 | Professional | 26 · Professional part | $758.58 | $794.33 | $794.33 |
Where Michigan sits
The same service costs 12.0 times more in Texas 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· 25th of 51
$661
TX $3,981AL $331
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.