How much rates vary
Facilitymedian $35 · 10th to 90th $15 to $200Professionalmedian $76 · 10th to 90th $44 to $158
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 $154.88 Median $158.49 Typical High $199.53 | Facility | None | $154.88 | $158.49 | $199.53 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $117.49 Typical High $338.84 | Facility | TC · Technical part | $107.15 | $117.49 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $61.66 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $54.95 | Professional | 26 · Professional part | $36.31 | $46.77 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $109.65 Typical High $128.82 | Professional | TC · Technical part | $18.20 | $109.65 | $128.82 |
BCBS Michigan Setting Facility Modifier None Typical Low $14.79 Median $21.88 Typical High $38.90 | Facility | None | $14.79 | $21.88 | $38.90 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $13.80 Median $75.86 Typical High $81.28 | Professional | None (both parts) | $13.80 | $75.86 | $81.28 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | TC · Technical part | $14.79 | $14.79 | $14.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $109.65 Typical High $218.78 | Professional | None (both parts) | $61.66 | $109.65 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $57.54 Typical High $91.20 | Professional | 26 · Professional part | $34.67 | $57.54 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $70.79 Typical High $223.87 | Professional | TC · Technical part | $11.22 | $70.79 | $223.87 |
Health Alliance Plan Setting Facility Modifier None Typical Low $117.49 Median $162.18 Typical High $338.84 | Facility | None | $117.49 | $162.18 | $338.84 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $112.20 Typical High $257.04 | Facility | TC · Technical part | $28.18 | $112.20 | $257.04 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $43.65 Median $61.66 Typical High $158.49 | Professional | None (both parts) | $43.65 | $61.66 | $158.49 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $33.11 | $42.66 | $58.88 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $14.79 Typical High $117.49 | Professional | TC · Technical part | $10.47 | $14.79 | $117.49 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $112.20 Typical High $190.55 | Professional | None (both parts) | $63.10 | $112.20 | $190.55 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $67.61 Typical High $89.13 | Professional | 26 · Professional part | $34.67 | $67.61 | $89.13 |
United Setting Facility Modifier None Typical Low $138.04 Median $181.97 Typical High $380.19 | Facility | None | $138.04 | $181.97 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $104.71 Typical High $154.88 | Professional | None (both parts) | $63.10 | $104.71 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $63.10 | Professional | 26 · Professional part | $38.02 | $46.77 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $44.67 Typical High $97.72 | Professional | TC · Technical part | $11.22 | $44.67 | $97.72 |
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 $61.66 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $61.66 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $24.55 | $31.62 | $31.62 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $67.61 | $77.62 | $77.62 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $27.54 | $30.90 | $30.90 |
Where Michigan sits
The same service costs 6.9 times more in Alaska than in Michigan. 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· 51st of 51
$75.86
AK $525MI $75.86
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.