How much rates vary
Facilitymedian $166 · 10th to 90th $65 to $2,239Professionalmedian $174 · 10th to 90th $138 to $263
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 $169.82 Median $173.78 Typical High $213.80 | Facility | None | $169.82 | $173.78 | $213.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $46.77 Typical High $112.20 | Facility | TC · Technical part | $43.65 | $46.77 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $162.18 | $173.78 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $125.89 Typical High $158.49 | Professional | 26 · Professional part | $95.50 | $125.89 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $44.67 Typical High $100.00 | Professional | TC · Technical part | $43.65 | $44.67 | $100.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $154.88 | Professional | 26 · Professional part | $89.13 | $104.71 | $154.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $64.57 Median $95.50 Typical High $165.96 | Facility | None | $64.57 | $95.50 | $165.96 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $60.26 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $60.26 | $165.96 | $239.88 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $173.78 | $173.78 | $173.78 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $208.93 Typical High $616.60 | Professional | None (both parts) | $120.23 | $208.93 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $158.49 Typical High $251.19 | Professional | 26 · Professional part | $91.20 | $158.49 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $43.65 Typical High $120.23 | Professional | TC · Technical part | $27.54 | $43.65 | $120.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $64.57 Median $407.38 Typical High $2,454.71 | Facility | None | $64.57 | $407.38 | $2,454.71 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $58.88 Typical High $162.18 | Facility | TC · Technical part | $43.65 | $58.88 | $162.18 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $218.78 | Professional | None (both parts) | $138.04 | $169.82 | $218.78 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $114.82 Typical High $165.96 | Professional | 26 · Professional part | $81.28 | $114.82 | $165.96 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $54.95 Typical High $85.11 | Professional | TC · Technical part | $36.31 | $54.95 | $85.11 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $199.53 Typical High $891.25 | Professional | None (both parts) | $128.82 | $199.53 | $891.25 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $169.82 Typical High $223.87 | Professional | 26 · Professional part | $93.33 | $169.82 | $223.87 |
United Setting Facility Modifier None Typical Low $562.34 Median $741.31 Typical High $1,548.82 | Facility | None | $562.34 | $741.31 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $223.87 Typical High $467.74 | Professional | None (both parts) | $138.04 | $223.87 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $120.23 Typical High $173.78 | Professional | 26 · Professional part | $95.50 | $120.23 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $60.26 Typical High $257.04 | Professional | TC · Technical part | $25.70 | $60.26 | $257.04 |
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 $64.57 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $64.57 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $33.88 Typical High $34.67 | Professional | 53 · Discontinued | $26.30 | $33.88 | $34.67 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $67.61 | $81.28 | $81.28 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $26.92 | $32.36 | $32.36 |
Where Michigan sits
The same service costs 5.1 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· 41st of 51
$174
AK $575FL $112
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.