How much rates vary
Facilitymedian $4,786 · 10th to 90th $4,169 to $8,710Professionalmedian $4,169 · 10th to 90th $3,020 to $6,026
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 $4,168.69 Median $4,786.30 Typical High $6,456.54 | Facility | None | $4,168.69 | $4,786.30 | $6,456.54 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $2,089.30 Median $2,398.83 Typical High $3,235.94 | Facility | 52 · Reduced service | $2,089.30 | $2,398.83 | $3,235.94 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $831.76 Median $954.99 Typical High $1,288.25 | Facility | 53 · Discontinued | $831.76 | $954.99 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $4,073.80 Median $4,786.30 Typical High $6,456.54 | Professional | None (both parts) | $4,073.80 | $4,786.30 | $6,456.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,137.96 Median $2,454.71 Typical High $2,511.89 | Professional | 52 · Reduced service | $2,137.96 | $2,454.71 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $851.14 Median $977.24 Typical High $1,000.00 | Professional | 53 · Discontinued | $851.14 | $977.24 | $1,000.00 |
BCBS Michigan Setting Facility Modifier None Typical Low $10.96 Median $4,168.69 Typical High $4,168.69 | Facility | None | $10.96 | $4,168.69 | $4,168.69 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $4,168.69 Typical High $4,168.69 | Professional | None (both parts) | $3,981.07 | $4,168.69 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,737.80 Typical High $6,309.57 | Professional | None (both parts) | $1,412.54 | $1,737.80 | $6,309.57 |
Health Alliance Plan Setting Facility Modifier None Typical Low $4,168.69 Median $4,786.30 Typical High $14,125.38 | Facility | None | $4,168.69 | $4,786.30 | $14,125.38 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $2,089.30 Median $2,398.83 Typical High $3,235.94 | Facility | 52 · Reduced service | $2,089.30 | $2,398.83 | $3,235.94 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $831.76 Median $954.99 Typical High $1,288.25 | Facility | 53 · Discontinued | $831.76 | $954.99 | $1,288.25 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $4,786.30 Typical High $6,456.54 | Professional | None (both parts) | $4,168.69 | $4,786.30 | $6,456.54 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $2,089.30 Median $2,089.30 Typical High $2,398.83 | Professional | 52 · Reduced service | $2,089.30 | $2,089.30 | $2,398.83 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $831.76 Median $831.76 Typical High $954.99 | Professional | 53 · Discontinued | $831.76 | $831.76 | $954.99 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $5,754.40 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $5,754.40 |
United Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $3,019.95 Typical High $5,011.87 | Professional | None (both parts) | $2,089.30 | $3,019.95 | $5,011.87 |
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 $4,786.30 Median $5,011.87 Typical High $5,011.87 | Professional | 26 · Professional part | $4,786.30 | $5,011.87 | $5,011.87 |
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
$4,266
TX $25,119AL $2,089
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.