How much rates vary
Facilitymedian $2,512 · 10th to 90th $2,188 to $6,310Professionalmedian $2,188 · 10th to 90th $1,585 to $3,162
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 $2,187.76 Median $2,511.89 Typical High $3,467.37 | Facility | None | $2,187.76 | $2,511.89 | $3,467.37 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,258.93 Typical High $1,698.24 | Facility | 52 · Reduced service | $1,096.48 | $1,258.93 | $1,698.24 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $436.52 Median $501.19 Typical High $691.83 | Facility | 53 · Discontinued | $436.52 | $501.19 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,290.87 Typical High $3,162.28 | Professional | None (both parts) | $2,137.96 | $2,290.87 | $3,162.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,258.93 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,096.48 | $1,258.93 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $512.86 Typical High $537.03 | Professional | 53 · Discontinued | $436.52 | $512.86 | $537.03 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,862.09 Typical High $1,862.09 | Professional | None (both parts) | $1,778.28 | $1,862.09 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $3,235.94 Typical High $4,073.80 | Professional | None (both parts) | $3,090.30 | $3,235.94 | $4,073.80 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,187.76 Median $2,511.89 Typical High $7,413.10 | Facility | None | $2,187.76 | $2,511.89 | $7,413.10 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,258.93 Typical High $1,698.24 | Facility | 52 · Reduced service | $1,096.48 | $1,258.93 | $1,698.24 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $436.52 Median $501.19 Typical High $691.83 | Facility | 53 · Discontinued | $436.52 | $501.19 | $691.83 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,570.40 Typical High $3,388.44 | Professional | None (both parts) | $2,187.76 | $2,570.40 | $3,388.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,096.48 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,096.48 | $1,096.48 | $1,258.93 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $501.19 | Professional | 53 · Discontinued | $436.52 | $436.52 | $501.19 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $3,090.30 Typical High $3,235.94 | Professional | None (both parts) | $3,090.30 | $3,090.30 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $2,398.83 Typical High $3,162.28 | Facility | None | $1,584.89 | $2,398.83 | $3,162.28 |
United Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,584.89 Typical High $2,630.27 | Professional | None (both parts) | $1,122.02 | $1,584.89 | $2,630.27 |
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 $2,570.40 Median $2,691.53 Typical High $2,691.53 | Professional | 26 · Professional part | $2,570.40 | $2,691.53 | $2,691.53 |
Where Michigan sits
The same service costs 33.9 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
$2,188
TX $13,183OH $389
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.