How much rates vary
Facilitymedian $3,890 · 10th to 90th $2,188 to $6,607Professionalmedian $2,239 · 10th to 90th $1,622 to $3,020
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 $2,089.30 Median $2,137.96 Typical High $2,691.53 | Facility | None | $2,089.30 | $2,137.96 | $2,691.53 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $1,584.89 Median $1,737.80 Typical High $4,897.79 | Facility | TC · Technical part | $1,584.89 | $1,737.80 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,137.96 Typical High $2,754.23 | Professional | None (both parts) | $1,905.46 | $2,137.96 | $2,754.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $501.19 Typical High $630.96 | Professional | 26 · Professional part | $389.05 | $501.19 | $630.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $1,621.81 Typical High $2,089.30 | Professional | TC · Technical part | $1,548.82 | $1,621.81 | $2,089.30 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $575.44 Typical High $616.60 | Professional | 26 · Professional part | $346.74 | $575.44 | $616.60 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,398.83 Median $3,548.13 Typical High $6,165.95 | Facility | None | $2,398.83 | $3,548.13 | $6,165.95 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,818.38 Typical High $3,019.95 | Professional | None (both parts) | $2,238.72 | $2,818.38 | $3,019.95 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $630.96 | $630.96 | $630.96 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | TC · Technical part | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $2,454.71 Typical High $4,365.16 | Professional | None (both parts) | $1,698.24 | $2,454.71 | $4,365.16 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $549.54 Typical High $977.24 | Professional | 26 · Professional part | $346.74 | $549.54 | $977.24 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,737.80 Typical High $3,548.13 | Professional | TC · Technical part | $1,318.26 | $1,737.80 | $3,548.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,187.76 Median $4,570.88 Typical High $7,079.46 | Facility | None | $2,187.76 | $4,570.88 | $7,079.46 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $1,584.89 Median $2,818.38 Typical High $3,715.35 | Facility | TC · Technical part | $1,584.89 | $2,818.38 | $3,715.35 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $2,089.30 Typical High $2,511.89 | Professional | None (both parts) | $1,548.82 | $2,089.30 | $2,511.89 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $457.09 Typical High $630.96 | Professional | 26 · Professional part | $316.23 | $457.09 | $630.96 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,584.89 Typical High $2,041.74 | Professional | TC · Technical part | $1,230.27 | $1,584.89 | $2,041.74 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $2,454.71 Typical High $4,265.80 | Professional | None (both parts) | $1,698.24 | $2,454.71 | $4,265.80 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $645.65 Typical High $851.14 | Professional | 26 · Professional part | $354.81 | $645.65 | $851.14 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,862.09 Typical High $3,890.45 | Facility | None | $1,412.54 | $1,862.09 | $3,890.45 |
United Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $2,187.76 Typical High $3,090.30 | Professional | None (both parts) | $1,819.70 | $2,187.76 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $467.74 Typical High $676.08 | Professional | 26 · Professional part | $363.08 | $467.74 | $676.08 |
United Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $1,778.28 Typical High $2,398.83 | Professional | TC · Technical part | $1,479.11 | $1,778.28 | $2,398.83 |
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 $870.96 Median $1,071.52 Typical High $1,071.52 | Professional | 52 · Reduced service | $870.96 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $426.58 Typical High $426.58 | Professional | 53 · Discontinued | $346.74 | $426.58 | $426.58 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,023.29 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $416.87 | $416.87 | $416.87 |
Where Michigan sits
The same service costs 4.4 times more in Alaska than in Florida. 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
$2,239
AK $6,918FL $1,585
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.