How much rates vary
Facilitymedian $309 · 10th to 90th $309 to $1,148Professionalmedian $977 · 10th to 90th $295 to $1,259
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 $1,148.15 Median $1,148.15 Typical High $1,513.56 | Facility | None | $1,148.15 | $1,148.15 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,202.26 Typical High $1,258.93 | Professional | None (both parts) | $851.14 | $1,202.26 | $1,258.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $67.61 | $89.13 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,122.02 Typical High $1,174.90 | Professional | TC · Technical part | $794.33 | $1,122.02 | $1,174.90 |
BCBS Michigan Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $549.54 | Facility | None | $309.03 | $309.03 | $549.54 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $295.12 Median $467.74 Typical High $489.78 | Professional | None (both parts) | $295.12 | $467.74 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,445.44 Typical High $2,041.74 | Professional | None (both parts) | $831.76 | $1,445.44 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $97.72 Typical High $147.91 | Professional | 26 · Professional part | $54.95 | $97.72 | $147.91 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,122.02 Median $1,995.26 Typical High $2,238.72 | Facility | None | $1,122.02 | $1,995.26 | $2,238.72 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $1,047.13 Median $1,949.84 Typical High $3,235.94 | Facility | TC · Technical part | $1,047.13 | $1,949.84 | $3,235.94 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $501.19 Median $1,000.00 Typical High $1,202.26 | Professional | None (both parts) | $501.19 | $1,000.00 | $1,202.26 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $85.11 Typical High $131.83 | Professional | 26 · Professional part | $54.95 | $85.11 | $131.83 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $933.25 Typical High $1,148.15 | Professional | TC · Technical part | $288.40 | $933.25 | $1,148.15 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,513.56 Typical High $2,041.74 | Professional | None (both parts) | $741.31 | $1,513.56 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,122.02 Typical High $1,479.11 | Professional | None (both parts) | $954.99 | $1,122.02 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $95.50 | Professional | 26 · Professional part | $60.26 | $70.79 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,047.13 Typical High $1,380.38 | Professional | TC · Technical part | $912.01 | $1,047.13 | $1,380.38 |
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 $524.81 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $524.81 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $208.93 | $239.88 | $239.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $562.34 | $562.34 | $562.34 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $223.87 | $223.87 | $223.87 |
Where Michigan sits
The same service costs 20.4 times more in Alaska than in Oregon. 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
$912
AK $2,754OR $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.