How much rates vary
Facilitymedian $2,188 · 10th to 90th $1,202 to $3,802Professionalmedian $1,202 · 10th to 90th $776 to $1,698
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 $1,174.90 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,174.90 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $1,047.13 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $114.82 Typical High $117.49 | Professional | 26 · Professional part | $95.50 | $114.82 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $933.25 | $1,096.48 | $1,096.48 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,584.89 Median $2,398.83 Typical High $4,073.80 | Facility | None | $1,584.89 | $2,398.83 | $4,073.80 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,659.59 Typical High $1,737.80 | Professional | None (both parts) | $1,479.11 | $1,659.59 | $1,737.80 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $158.49 | $158.49 | $158.49 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | TC · Technical part | $1,584.89 | $1,584.89 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $1,122.02 Typical High $2,238.72 | Professional | None (both parts) | $457.09 | $1,122.02 | $2,238.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $141.25 Typical High $223.87 | Professional | 26 · Professional part | $85.11 | $141.25 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,000.00 Typical High $2,187.76 | Professional | TC · Technical part | $707.95 | $1,000.00 | $2,187.76 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,202.26 Median $2,089.30 Typical High $2,290.87 | Facility | None | $1,202.26 | $2,089.30 | $2,290.87 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,023.29 Typical High $1,258.93 | Professional | None (both parts) | $776.25 | $1,023.29 | $1,258.93 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $131.83 | Professional | 26 · Professional part | $81.28 | $107.15 | $131.83 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $912.01 Typical High $1,122.02 | Professional | TC · Technical part | $691.83 | $912.01 | $1,122.02 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,174.90 Typical High $2,137.96 | Professional | None (both parts) | $436.52 | $1,174.90 | $2,137.96 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $165.96 Typical High $223.87 | Professional | 26 · Professional part | $85.11 | $165.96 | $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 $776.25 Median $1,096.48 Typical High $1,584.89 | Professional | None (both parts) | $776.25 | $1,096.48 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $114.82 Typical High $154.88 | Professional | 26 · Professional part | $95.50 | $114.82 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $1,000.00 Typical High $1,445.44 | Professional | TC · Technical part | $676.08 | $1,000.00 | $1,445.44 |
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 $537.03 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $537.03 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $213.80 | $245.47 | $245.47 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $602.56 | $602.56 | $602.56 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
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· 24th of 51
$1,230
AK $4,365IN $794
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.