How much rates vary
Facilitymedian $851 · 10th to 90th $513 to $1,549Professionalmedian $537 · 10th to 90th $417 to $724
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 $489.78 Median $512.86 Typical High $575.44 | Facility | None | $489.78 | $512.86 | $575.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $398.11 Median $426.58 Typical High $1,288.25 | Facility | TC · Technical part | $398.11 | $426.58 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $501.19 Typical High $660.69 | Professional | None (both parts) | $478.63 | $501.19 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $97.72 Typical High $123.03 | Professional | 26 · Professional part | $72.44 | $97.72 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $407.38 Typical High $524.81 | Professional | TC · Technical part | $398.11 | $407.38 | $524.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $107.15 | Professional | 26 · Professional part | $83.18 | $83.18 | $107.15 |
BCBS Michigan Setting Facility Modifier None Typical Low $588.84 Median $891.25 Typical High $1,513.56 | Facility | None | $588.84 | $891.25 | $1,513.56 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $125.89 Median $676.08 Typical High $724.44 | Professional | None (both parts) | $125.89 | $676.08 | $724.44 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $134.90 | $134.90 | $134.90 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $575.44 Typical High $1,122.02 | Professional | None (both parts) | $407.38 | $575.44 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $69.18 | $120.23 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $478.63 Typical High $954.99 | Professional | TC · Technical part | $331.13 | $478.63 | $954.99 |
Health Alliance Plan Setting Facility Modifier None Typical Low $512.86 Median $954.99 Typical High $2,187.76 | Facility | None | $512.86 | $954.99 | $2,187.76 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $97.72 Median $102.33 Typical High $177.83 | Facility | 26 · Professional part | $97.72 | $102.33 | $177.83 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $407.38 Median $575.44 Typical High $1,047.13 | Facility | TC · Technical part | $407.38 | $575.44 | $1,047.13 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $416.87 Median $512.86 Typical High $660.69 | Professional | None (both parts) | $416.87 | $512.86 | $660.69 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $128.82 | Professional | 26 · Professional part | $60.26 | $89.13 | $128.82 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $416.87 Typical High $562.34 | Professional | TC · Technical part | $354.81 | $416.87 | $562.34 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $562.34 Typical High $1,023.29 | Professional | None (both parts) | $407.38 | $562.34 | $1,023.29 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $128.82 Typical High $165.96 | Professional | 26 · Professional part | $70.79 | $128.82 | $165.96 |
United Setting Facility Modifier None Typical Low $389.05 Median $501.19 Typical High $1,047.13 | Facility | None | $389.05 | $501.19 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $524.81 Typical High $794.33 | Professional | None (both parts) | $436.52 | $524.81 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $131.83 | Professional | 26 · Professional part | $70.79 | $91.20 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $457.09 Typical High $676.08 | Professional | TC · Technical part | $371.54 | $457.09 | $676.08 |
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 $218.78 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $218.78 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $87.10 | $100.00 | $100.00 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $102.33 | $102.33 | $102.33 |
Where Michigan sits
The same service costs 4.6 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· 27th of 51
$550
AK $1,698TX $372
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.