How much rates vary
Facilitymedian $170 · 10th to 90th $120 to $331Professionalmedian $120 · 10th to 90th $45 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 $120.23 Median $123.03 Typical High $154.88 | Facility | None | $120.23 | $123.03 | $154.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $93.33 Typical High $263.03 | Facility | TC · Technical part | $85.11 | $93.33 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $154.88 | Professional | None (both parts) | $100.00 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $40.74 | Professional | 26 · Professional part | $27.54 | $33.11 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $104.71 | Professional | TC · Technical part | $72.44 | $89.13 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $42.66 | Professional | 26 · Professional part | $33.88 | $38.02 | $42.66 |
BCBS Michigan Setting Facility Modifier None Typical Low $138.04 Median $204.17 Typical High $346.74 | Facility | None | $138.04 | $204.17 | $346.74 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $44.67 Median $173.78 Typical High $186.21 | Professional | None (both parts) | $44.67 | $173.78 | $186.21 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $138.04 | $138.04 | $138.04 |
CareSource Setting Professional Modifier None (both parts) Typical Low $26.30 Median $85.11 Typical High $128.82 | Professional | None (both parts) | $26.30 | $85.11 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $125.89 Typical High $234.42 | Professional | None (both parts) | $81.28 | $125.89 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $35.48 Typical High $64.57 | Professional | 26 · Professional part | $22.39 | $35.48 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $91.20 Typical High $177.83 | Professional | TC · Technical part | $57.54 | $91.20 | $177.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $120.23 Median $162.18 Typical High $302.00 | Facility | None | $120.23 | $162.18 | $302.00 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $125.89 Typical High $199.53 | Facility | TC · Technical part | $85.11 | $125.89 | $199.53 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $138.04 | Professional | None (both parts) | $83.18 | $117.49 | $138.04 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $37.15 | Professional | 26 · Professional part | $23.99 | $31.62 | $37.15 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $83.18 Typical High $97.72 | Professional | TC · Technical part | $58.88 | $83.18 | $97.72 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $81.28 | $117.49 | $186.21 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $22.39 | $33.11 | $57.54 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $79.43 Typical High $147.91 | Professional | TC · Technical part | $57.54 | $79.43 | $147.91 |
United Setting Facility Modifier None Typical Low $107.15 Median $141.25 Typical High $295.12 | Facility | None | $107.15 | $141.25 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $141.25 | Professional | None (both parts) | $93.33 | $109.65 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $39.81 | Professional | 26 · Professional part | $26.30 | $30.20 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $100.00 | Professional | TC · Technical part | $66.07 | $79.43 | $100.00 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | Q6 · Substitute physician, paid per time | $104.71 | $104.71 | $104.71 |
Health Alliance Plan Setting Facility Modifier 59 · Distinct service Typical Low $125.89 Median $208.93 Typical High $213.80 | Facility | 59 · Distinct service | $125.89 | $208.93 | $213.80 |
Where Michigan sits
The same service costs 3.7 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· 27th of 51
$120
AK $309TX $83.18
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.