How much rates vary
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 $707.95 Median $707.95 Typical High $1,122.02 | Facility | None | $707.95 | $707.95 | $1,122.02 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $354.81 Median $354.81 Typical High $549.54 | Facility | 52 · Reduced service | $354.81 | $354.81 | $549.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $223.87 | Facility | 53 · Discontinued | $141.25 | $141.25 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $707.95 Typical High $724.44 | Professional | None (both parts) | $602.56 | $707.95 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $363.08 Typical High $380.19 | Professional | 52 · Reduced service | $316.23 | $363.08 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $144.54 Typical High $151.36 | Professional | 53 · Discontinued | $128.82 | $144.54 | $151.36 |
BCBS Michigan Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $501.19 Median $524.81 Typical High $575.44 | Professional | None (both parts) | $501.19 | $524.81 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $912.01 Typical High $1,148.15 | Professional | None (both parts) | $870.96 | $912.01 | $1,148.15 |
Health Alliance Plan Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $2,089.30 | Facility | None | $707.95 | $707.95 | $2,089.30 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $354.81 Median $354.81 Typical High $549.54 | Facility | 52 · Reduced service | $354.81 | $354.81 | $549.54 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $223.87 | Facility | 53 · Discontinued | $141.25 | $141.25 | $223.87 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $707.95 Median $724.44 Typical High $933.25 | Professional | None (both parts) | $707.95 | $724.44 | $933.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $354.81 | $354.81 | $354.81 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $141.25 | $141.25 | $141.25 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $912.01 | Professional | None (both parts) | $870.96 | $870.96 | $912.01 |
United Setting Facility Modifier None Typical Low $446.68 Median $676.08 Typical High $891.25 | Facility | None | $446.68 | $676.08 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $446.68 Typical High $758.58 | Professional | None (both parts) | $316.23 | $446.68 | $758.58 |
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 $724.44 Median $758.58 Typical High $758.58 | Professional | 26 · Professional part | $724.44 | $758.58 | $758.58 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 26 · Professional part | $707.95 | $707.95 | $707.95 |
Where Michigan sits
The same service costs 26.9 times more in Alaska 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· 21st of 51
$708
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.