How much rates vary
Facilitymedian $525 · 10th to 90th $151 to $1,660Professionalmedian $347 · 10th to 90th $141 to $447
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 $346.74 Median $467.74 Typical High $4,897.79 | Facility | None | $346.74 | $467.74 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $354.81 Typical High $380.19 | Professional | None (both parts) | $316.23 | $354.81 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $109.65 Typical High $114.82 | Professional | 26 · Professional part | $87.10 | $109.65 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $239.88 Typical High $251.19 | Professional | TC · Technical part | $229.09 | $239.88 | $251.19 |
BCBS Michigan Setting Facility Modifier None Typical Low $512.86 Median $660.69 Typical High $1,584.89 | Facility | None | $512.86 | $660.69 | $1,584.89 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $70.79 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $70.79 | $263.03 | $398.11 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $309.03 | $309.03 | $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 $204.17 Median $346.74 Typical High $977.24 | Professional | None (both parts) | $204.17 | $346.74 | $977.24 |
Health Alliance Plan Setting Facility Modifier None Typical Low $181.97 Median $776.25 Typical High $4,897.79 | Facility | None | $181.97 | $776.25 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $288.40 Median $371.54 Typical High $436.52 | Professional | None (both parts) | $288.40 | $371.54 | $436.52 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $134.90 | Professional | 26 · Professional part | $87.10 | $107.15 | $134.90 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $257.04 Typical High $309.03 | Professional | TC · Technical part | $199.53 | $257.04 | $309.03 |
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 $204.17 Median $295.12 Typical High $416.87 | Professional | None (both parts) | $204.17 | $295.12 | $416.87 |
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 $309.03 Median $371.54 Typical High $478.63 | Professional | None (both parts) | $309.03 | $371.54 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $141.25 | Professional | 26 · Professional part | $97.72 | $114.82 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $257.04 Typical High $346.74 | Professional | TC · Technical part | $204.17 | $257.04 | $346.74 |
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 $169.82 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $169.82 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $67.61 | $70.79 | $70.79 |
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 |
Where Michigan sits
The same service costs 4.8 times more in Alaska 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· 30th of 51
$355
AK $1,000UT $209
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.