How much rates vary
Facilitymedian $98 · 10th to 90th $95 to $240Professionalmedian $141 · 10th to 90th $89 to $174
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 $104.71 Median $141.25 Typical High $141.25 | Facility | None | $104.71 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $141.25 Typical High $169.82 | Professional | None (both parts) | $125.89 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $74.13 | Professional | 26 · Professional part | $57.54 | $70.79 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $69.18 Typical High $89.13 | Professional | TC · Technical part | $67.61 | $69.18 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
BCBS Michigan Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $169.82 | Facility | None | $95.50 | $95.50 | $169.82 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $83.18 Median $165.96 Typical High $173.78 | Professional | None (both parts) | $83.18 | $165.96 | $173.78 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $128.82 | Professional | TC · Technical part | $95.50 | $95.50 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $181.97 Typical High $302.00 | Professional | None (both parts) | $95.50 | $181.97 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $79.43 Typical High $120.23 | Professional | 26 · Professional part | $46.77 | $79.43 | $120.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $128.82 Median $257.04 Typical High $691.83 | Facility | None | $128.82 | $257.04 | $691.83 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $165.96 Typical High $218.78 | Facility | TC · Technical part | $69.18 | $165.96 | $218.78 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $169.82 | Professional | None (both parts) | $104.71 | $141.25 | $169.82 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $64.57 Typical High $77.62 | Professional | 26 · Professional part | $45.71 | $64.57 | $77.62 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $91.20 | Professional | TC · Technical part | $58.88 | $69.18 | $91.20 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $165.96 Typical High $302.00 | Professional | None (both parts) | $87.10 | $165.96 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $190.55 | Professional | None (both parts) | $117.49 | $141.25 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $81.28 | Professional | 26 · Professional part | $54.95 | $61.66 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $104.71 | Professional | TC · Technical part | $60.26 | $75.86 | $104.71 |
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 $67.61 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $67.61 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $26.92 | $28.18 | $28.18 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Where Michigan sits
The same service costs 5.6 times more in Alaska than in Texas. 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
$141
AK $447TX $79.43
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.