How much rates vary
Facilitymedian $48 · 10th to 90th $48 to $138Professionalmedian $110 · 10th to 90th $83 to $151
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 $109.65 Median $112.20 Typical High $138.04 | Facility | None | $109.65 | $112.20 | $138.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $33.88 Typical High $93.33 | Facility | TC · Technical part | $30.90 | $33.88 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $109.65 Typical High $123.03 | Professional | None (both parts) | $104.71 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $64.57 | $79.43 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $32.36 Typical High $45.71 | Professional | TC · Technical part | $30.20 | $32.36 | $45.71 |
BCBS Michigan Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $87.10 | Facility | None | $47.86 | $47.86 | $87.10 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $44.67 Median $104.71 Typical High $147.91 | Professional | None (both parts) | $44.67 | $104.71 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $151.36 Typical High $467.74 | Professional | None (both parts) | $75.86 | $151.36 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $97.72 Typical High $141.25 | Professional | 26 · Professional part | $53.70 | $97.72 | $141.25 |
Health Alliance Plan Setting Facility Modifier None Typical Low $44.67 Median $117.49 Typical High $416.87 | Facility | None | $44.67 | $117.49 | $416.87 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $56.23 Typical High $85.11 | Facility | TC · Technical part | $30.90 | $56.23 | $85.11 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $83.18 Median $109.65 Typical High $134.90 | Professional | None (both parts) | $83.18 | $109.65 | $134.90 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $91.20 | Professional | 26 · Professional part | $53.70 | $75.86 | $91.20 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $30.20 Typical High $44.67 | Professional | TC · Technical part | $28.84 | $30.20 | $44.67 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $141.25 Typical High $467.74 | Professional | None (both parts) | $75.86 | $141.25 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $95.50 | $112.20 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $97.72 | Professional | 26 · Professional part | $60.26 | $72.44 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.11 Typical High $128.82 | Professional | TC · Technical part | $25.70 | $33.11 | $128.82 |
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 $45.71 Median $54.95 Typical High $56.23 | Professional | 52 · Reduced service | $45.71 | $54.95 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $18.20 | $22.39 | $22.39 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $48.98 | $53.70 | $53.70 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $19.50 | $21.88 | $21.88 |
Where Michigan sits
The same service costs 5.2 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· 32nd of 51
$110
AK $309TX $58.88
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.