How much rates vary
Facilitymedian $263 · 10th to 90th $89 to $589Professionalmedian $58 · 10th to 90th $32 to $83
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 $56.23 Median $57.54 Typical High $63.10 | Facility | None | $56.23 | $57.54 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $56.23 Typical High $74.13 | Professional | None (both parts) | $51.29 | $56.23 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $44.67 | Professional | 26 · Professional part | $30.20 | $34.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $22.39 Typical High $28.84 | Professional | TC · Technical part | $21.38 | $22.39 | $28.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.90 Median $69.18 Typical High $74.13 | Professional | None (both parts) | $38.90 | $69.18 | $74.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $32.36 | $43.65 |
BCBS Michigan Setting Facility Modifier None Typical Low $204.17 Median $263.03 Typical High $630.96 | Facility | None | $204.17 | $263.03 | $630.96 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $13.18 Median $45.71 Typical High $83.18 | Professional | None (both parts) | $13.18 | $45.71 | $83.18 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $60.26 | Professional | 26 · Professional part | $48.98 | $48.98 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $50.12 Typical High $165.96 | Professional | None (both parts) | $34.67 | $50.12 | $165.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $81.28 Median $275.42 Typical High $575.44 | Facility | None | $81.28 | $275.42 | $575.44 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $93.33 | Facility | 26 · Professional part | $34.67 | $35.48 | $93.33 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $22.39 Typical High $52.48 | Facility | TC · Technical part | $21.88 | $22.39 | $52.48 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $50.12 Median $57.54 Typical High $87.10 | Professional | None (both parts) | $50.12 | $57.54 | $87.10 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $31.62 | $35.48 | $52.48 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.39 Typical High $27.54 | Professional | TC · Technical part | $17.78 | $22.39 | $27.54 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $48.98 Typical High $72.44 | Professional | None (both parts) | $34.67 | $48.98 | $72.44 |
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 $51.29 Median $58.88 Typical High $75.86 | Professional | None (both parts) | $51.29 | $58.88 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $33.11 | $38.02 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $20.89 Typical High $28.18 | Professional | TC · Technical part | $16.60 | $20.89 | $28.18 |
5 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 $24.55 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $24.55 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $11.22 Typical High $11.48 | Professional | 53 · Discontinued | $9.77 | $11.22 | $11.48 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | XU · Unusual separate service | $24.55 | $24.55 | $24.55 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $28.18 | $28.18 | $28.18 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $11.48 | Professional | 53 · Discontinued | $11.22 | $11.22 | $11.48 |
Where Michigan sits
The same service costs 6.5 times more in Minnesota 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· 31st of 51
$60.26
MN $295KY $45.71
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.