How much rates vary
Facilitymedian $631 · 10th to 90th $631 to $1,096Professionalmedian $468 · 10th to 90th $56 to $676
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 $467.74 Median $467.74 Typical High $616.60 | Facility | None | $467.74 | $467.74 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $489.78 Typical High $512.86 | Professional | None (both parts) | $416.87 | $489.78 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $46.77 | Professional | 26 · Professional part | $36.31 | $43.65 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $446.68 Typical High $467.74 | Professional | TC · Technical part | $380.19 | $446.68 | $467.74 |
BCBS Michigan Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $1,122.02 | Facility | None | $630.96 | $630.96 | $1,122.02 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $53.70 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $53.70 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $645.65 Typical High $977.24 | Professional | None (both parts) | $309.03 | $645.65 | $977.24 |
Health Alliance Plan Setting Facility Modifier None Typical Low $467.74 Median $977.24 Typical High $1,096.48 | Facility | None | $467.74 | $977.24 | $1,096.48 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $426.58 Median $912.01 Typical High $1,318.26 | Facility | TC · Technical part | $426.58 | $912.01 | $1,318.26 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $371.54 Median $467.74 Typical High $645.65 | Professional | None (both parts) | $371.54 | $467.74 | $645.65 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $54.95 | Professional | 26 · Professional part | $33.11 | $44.67 | $54.95 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $426.58 Typical High $588.84 | Professional | TC · Technical part | $338.84 | $426.58 | $588.84 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $645.65 Typical High $912.01 | Professional | None (both parts) | $309.03 | $645.65 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $549.54 Typical High $758.58 | Professional | None (both parts) | $457.09 | $549.54 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $60.26 | Professional | 26 · Professional part | $38.02 | $43.65 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $501.19 Typical High $707.95 | Professional | TC · Technical part | $416.87 | $501.19 | $707.95 |
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 $199.53 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $199.53 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $79.43 | $97.72 | $97.72 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $204.17 | $234.42 | $234.42 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $83.18 | $93.33 | $93.33 |
Where Michigan sits
The same service costs 16.6 times more in Wisconsin 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· 37th of 51
$490
WI $1,202OR $72.44
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.