How much rates vary
Facilitymedian $1,413 · 10th to 90th $891 to $2,399Professionalmedian $776 · 10th to 90th $513 to $1,122
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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $660.69 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $83.18 | Professional | 26 · Professional part | $67.61 | $81.28 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $691.83 Typical High $691.83 | Professional | TC · Technical part | $602.56 | $691.83 | $691.83 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,000.00 Median $1,479.11 Typical High $2,570.40 | Facility | None | $1,000.00 | $1,479.11 | $2,570.40 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $107.15 Median $933.25 Typical High $1,122.02 | Professional | None (both parts) | $107.15 | $933.25 | $1,122.02 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $114.82 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | TC · Technical part | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $912.01 Typical High $2,089.30 | Professional | None (both parts) | $323.59 | $912.01 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $102.33 Typical High $165.96 | Professional | 26 · Professional part | $60.26 | $102.33 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $851.14 Typical High $2,137.96 | Professional | TC · Technical part | $457.09 | $851.14 | $2,137.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $776.25 Median $1,412.54 Typical High $1,513.56 | Facility | None | $776.25 | $1,412.54 | $1,513.56 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $512.86 Median $676.08 Typical High $851.14 | Professional | None (both parts) | $512.86 | $676.08 | $851.14 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $79.43 Typical High $97.72 | Professional | 26 · Professional part | $60.26 | $79.43 | $97.72 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $602.56 Typical High $758.58 | Professional | TC · Technical part | $457.09 | $602.56 | $758.58 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $794.33 Typical High $2,089.30 | Professional | None (both parts) | $323.59 | $794.33 | $2,089.30 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $117.49 Typical High $162.18 | Professional | 26 · Professional part | $61.66 | $117.49 | $162.18 |
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 $549.54 Median $758.58 Typical High $1,174.90 | Professional | None (both parts) | $549.54 | $758.58 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $83.18 Typical High $114.82 | Professional | 26 · Professional part | $69.18 | $83.18 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $676.08 Typical High $1,071.52 | Professional | TC · Technical part | $478.63 | $676.08 | $1,071.52 |
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 $338.84 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $338.84 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $138.04 | $154.88 | $154.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $154.88 | $154.88 | $154.88 |
Where Michigan sits
The same service costs 5.1 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· 34th of 51
$776
AK $2,754TX $537
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.