How much rates vary
Facilitymedian $83 · 10th to 90th $83 to $148Professionalmedian $78 · 10th to 90th $34 to $126
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 $91.20 Median $91.20 Typical High $114.82 | Facility | None | $91.20 | $91.20 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $91.20 Typical High $95.50 | Professional | None (both parts) | $70.79 | $91.20 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $38.02 | Professional | 26 · Professional part | $28.18 | $36.31 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $54.95 Typical High $57.54 | Professional | TC · Technical part | $40.74 | $54.95 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
BCBS Michigan Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $147.91 | Facility | None | $83.18 | $83.18 | $147.91 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $50.12 Median $120.23 Typical High $125.89 | Professional | None (both parts) | $50.12 | $120.23 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $67.61 Typical High $147.91 | Professional | None (both parts) | $35.48 | $67.61 | $147.91 |
Health Alliance Plan Setting Facility Modifier None Typical Low $75.86 Median $85.11 Typical High $128.82 | Facility | None | $75.86 | $85.11 | $128.82 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $54.95 Typical High $169.82 | Facility | TC · Technical part | $35.48 | $54.95 | $169.82 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $28.84 Median $43.65 Typical High $104.71 | Professional | None (both parts) | $28.84 | $43.65 | $104.71 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $25.12 Typical High $42.66 | Professional | 26 · Professional part | $15.85 | $25.12 | $42.66 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $20.42 Typical High $60.26 | Professional | TC · Technical part | $13.18 | $20.42 | $60.26 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $70.79 Typical High $147.91 | Professional | None (both parts) | $35.48 | $70.79 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $72.44 Typical High $97.72 | Professional | None (both parts) | $38.02 | $72.44 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $28.84 Typical High $40.74 | Professional | 26 · Professional part | $16.98 | $28.84 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $41.69 Typical High $58.88 | Professional | TC · Technical part | $16.98 | $41.69 | $58.88 |
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 $40.74 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $40.74 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $16.22 | $18.20 | $18.20 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $18.20 | $18.20 | $18.20 |
Where Michigan sits
The same service costs 5.9 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· 24th of 51
$83.18
AK $245TX $41.69
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.