How much rates vary
Facilitymedian $1,072 · 10th to 90th $708 to $1,259Professionalmedian $676 · 10th to 90th $355 to $1,122
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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $602.56 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $83.18 | $104.71 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $630.96 Typical High $630.96 | Professional | TC · Technical part | $524.81 | $630.96 | $630.96 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $134.90 Median $1,122.02 Typical High $1,122.02 | Professional | None (both parts) | $134.90 | $1,122.02 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $630.96 Typical High $1,288.25 | Professional | None (both parts) | $338.84 | $630.96 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $125.89 Typical High $190.55 | Professional | 26 · Professional part | $67.61 | $125.89 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $537.03 Typical High $1,445.44 | Professional | TC · Technical part | $346.74 | $537.03 | $1,445.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $724.44 Median $1,148.15 Typical High $1,258.93 | Facility | None | $724.44 | $1,148.15 | $1,258.93 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $426.58 Median $562.34 Typical High $812.83 | Professional | None (both parts) | $426.58 | $562.34 | $812.83 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $114.82 | Professional | 26 · Professional part | $58.88 | $81.28 | $114.82 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $478.63 Typical High $707.95 | Professional | TC · Technical part | $371.54 | $478.63 | $707.95 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $616.60 Typical High $1,230.27 | Professional | None (both parts) | $338.84 | $616.60 | $1,230.27 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $125.89 Typical High $162.18 | Professional | 26 · Professional part | $74.13 | $125.89 | $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 $354.81 Median $537.03 Typical High $794.33 | Professional | None (both parts) | $354.81 | $537.03 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $95.50 Typical High $131.83 | Professional | 26 · Professional part | $75.86 | $95.50 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $436.52 Typical High $691.83 | Professional | TC · Technical part | $275.42 | $436.52 | $691.83 |
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 $302.00 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $302.00 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $120.23 | $144.54 | $144.54 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $323.59 | $363.08 | $363.08 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $128.82 | $144.54 | $144.54 |
Where Michigan sits
The same service costs 6.0 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· 30th of 51
$676
AK $2,570IN $427
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.