How much rates vary
Facilitymedian $1,122 · 10th to 90th $589 to $1,622Professionalmedian $955 · 10th to 90th $447 to $1,585
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $954.99 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $100.00 | $123.03 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $851.14 | $954.99 | $954.99 |
BCBS Michigan Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $162.18 Median $1,513.56 Typical High $1,584.89 | Professional | None (both parts) | $162.18 | $1,513.56 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $954.99 Typical High $2,454.71 | Professional | None (both parts) | $446.68 | $954.99 | $2,454.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $162.18 Typical High $257.04 | Professional | 26 · Professional part | $93.33 | $162.18 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $851.14 Typical High $2,344.23 | Professional | TC · Technical part | $562.34 | $851.14 | $2,344.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $1,621.81 | Facility | None | $1,071.52 | $1,513.56 | $1,621.81 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $562.34 Median $741.31 Typical High $1,148.15 | Professional | None (both parts) | $562.34 | $741.31 | $1,148.15 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $120.23 Typical High $147.91 | Professional | 26 · Professional part | $93.33 | $120.23 | $147.91 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $630.96 Typical High $1,071.52 | Professional | TC · Technical part | $457.09 | $630.96 | $1,071.52 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $436.52 Median $870.96 Typical High $2,344.23 | Professional | None (both parts) | $436.52 | $870.96 | $2,344.23 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $169.82 Typical High $234.42 | Professional | 26 · Professional part | $93.33 | $169.82 | $234.42 |
United Setting Facility Modifier None Typical Low $707.95 Median $933.25 Typical High $1,949.84 | Facility | None | $707.95 | $933.25 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $588.84 Median $851.14 Typical High $1,202.26 | Professional | None (both parts) | $588.84 | $851.14 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $123.03 Typical High $165.96 | Professional | 26 · Professional part | $95.50 | $123.03 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $707.95 Typical High $1,047.13 | Professional | TC · Technical part | $501.19 | $707.95 | $1,047.13 |
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 $478.63 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $478.63 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $190.55 | $218.78 | $218.78 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $524.81 | $537.03 | $537.03 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $208.93 | $213.80 | $213.80 |
Where Michigan sits
The same service costs 5.5 times more in Alaska than in Indiana. 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· 34th of 51
$977
AK $3,802IN $692
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.