How much rates vary
Facilitymedian $174 · 10th to 90th $129 to $617Professionalmedian $263 · 10th to 90th $182 to $309
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 $257.04 Median $331.13 Typical High $4,897.79 | Facility | None | $257.04 | $331.13 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $263.03 Typical High $281.84 | Professional | None (both parts) | $234.42 | $263.03 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $104.71 | Professional | 26 · Professional part | $79.43 | $100.00 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $165.96 Typical High $173.78 | Professional | TC · Technical part | $154.88 | $165.96 | $173.78 |
BCBS Michigan Setting Facility Modifier None Typical Low $128.82 Median $131.83 Typical High $223.87 | Facility | None | $128.82 | $131.83 | $223.87 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $117.49 Median $190.55 Typical High $309.03 | Professional | None (both parts) | $117.49 | $190.55 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $245.47 Typical High $741.31 | Professional | None (both parts) | $158.49 | $245.47 | $741.31 |
Health Alliance Plan Setting Facility Modifier None Typical Low $173.78 Median $323.59 Typical High $2,041.74 | Facility | None | $173.78 | $323.59 | $2,041.74 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $194.98 | $257.04 | $302.00 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $117.49 | Professional | 26 · Professional part | $75.86 | $97.72 | $117.49 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $158.49 Typical High $186.21 | Professional | TC · Technical part | $117.49 | $158.49 | $186.21 |
Priority Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $158.49 | $218.78 | $309.03 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,202.26 | Facility | None | $91.20 | $177.83 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $346.74 | Professional | None (both parts) | $218.78 | $263.03 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $128.82 | Professional | 26 · Professional part | $87.10 | $102.33 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $223.87 | Professional | TC · Technical part | $128.82 | $165.96 | $223.87 |
4 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 52 · Reduced service Typical Low $128.82 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $128.82 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $51.29 | $52.48 | $52.48 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $141.25 | $141.25 | $141.25 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
Where Michigan sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 33rd of 51
$257
WI $708UT $135
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.