How much rates vary
Facilitymedian $380 · 10th to 90th $251 to $2,042Professionalmedian $380 · 10th to 90th $145 to $603
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 $489.78 Median $537.03 Typical High $4,897.79 | Facility | None | $489.78 | $537.03 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $512.86 Typical High $524.81 | Professional | None (both parts) | $478.63 | $512.86 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $102.33 | $131.83 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $363.08 | $380.19 | $380.19 |
BCBS Michigan Setting Facility Modifier None Typical Low $251.19 Median $288.40 Typical High $398.11 | Facility | None | $251.19 | $288.40 | $398.11 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $144.54 Median $380.19 Typical High $602.56 | Professional | None (both parts) | $144.54 | $380.19 | $602.56 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $154.88 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $426.58 Typical High $1,412.54 | Professional | None (both parts) | $251.19 | $426.58 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $120.23 Typical High $295.12 | Professional | 26 · Professional part | $81.28 | $120.23 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $316.23 Typical High $741.31 | Professional | TC · Technical part | $173.78 | $316.23 | $741.31 |
Health Alliance Plan Setting Facility Modifier None Typical Low $263.03 Median $676.08 Typical High $4,897.79 | Facility | None | $263.03 | $676.08 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $234.42 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $234.42 | $331.13 | $537.03 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $104.71 Typical High $123.03 | Professional | 26 · Professional part | $77.62 | $104.71 | $123.03 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $223.87 Typical High $416.87 | Professional | TC · Technical part | $154.88 | $223.87 | $416.87 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $416.87 Typical High $870.96 | Professional | None (both parts) | $251.19 | $416.87 | $870.96 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $107.15 Typical High $199.53 | Professional | 26 · Professional part | $77.62 | $107.15 | $199.53 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $316.23 Typical High $562.34 | Professional | TC · Technical part | $177.83 | $316.23 | $562.34 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,202.26 Typical High $1,862.09 | Facility | None | $302.00 | $1,202.26 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $316.23 Typical High $457.09 | Professional | None (both parts) | $263.03 | $316.23 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $107.15 Typical High $144.54 | Professional | 26 · Professional part | $91.20 | $107.15 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $218.78 Typical High $346.74 | Professional | TC · Technical part | $169.82 | $218.78 | $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 $245.47 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $245.47 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $97.72 | $102.33 | $102.33 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $269.15 | $269.15 | $269.15 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Where Michigan sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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· 36th of 51
$380
AK $1,413KY $219
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.