How much rates vary
Facilitymedian $372 · 10th to 90th $355 to $933Professionalmedian $372 · 10th to 90th $234 to $468
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 $371.54 Median $371.54 Typical High $575.44 | Facility | None | $371.54 | $371.54 | $575.44 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $186.21 Median $186.21 Typical High $288.40 | Facility | 52 · Reduced service | $186.21 | $186.21 | $288.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $114.82 | Facility | 53 · Discontinued | $74.13 | $74.13 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $467.74 | Professional | None (both parts) | $309.03 | $371.54 | $467.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $186.21 Typical High $199.53 | Professional | 52 · Reduced service | $165.96 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $75.86 Typical High $79.43 | Professional | 53 · Discontinued | $66.07 | $75.86 | $79.43 |
BCBS Michigan Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $302.00 | Professional | None (both parts) | $263.03 | $275.42 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $478.63 Typical High $588.84 | Professional | None (both parts) | $446.68 | $478.63 | $588.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $1,096.48 | Facility | None | $371.54 | $371.54 | $1,096.48 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $186.21 Median $186.21 Typical High $288.40 | Facility | 52 · Reduced service | $186.21 | $186.21 | $288.40 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $114.82 | Facility | 53 · Discontinued | $74.13 | $74.13 | $114.82 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $501.19 | Professional | None (both parts) | $371.54 | $371.54 | $501.19 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $186.21 | $186.21 | $186.21 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $74.13 | $74.13 | $74.13 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $478.63 | Professional | None (both parts) | $446.68 | $446.68 | $478.63 |
United Setting Facility Modifier None Typical Low $234.42 Median $354.81 Typical High $467.74 | Facility | None | $234.42 | $354.81 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $165.96 | $234.42 | $389.05 |
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 $371.54 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $371.54 | $398.11 | $398.11 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $371.54 | $371.54 | $371.54 |
Where Michigan sits
The same service costs 134.9 times more in Alaska than in Kentucky. 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· 21st of 51
$372
AK $871KY $6.46
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.