How much rates vary
Facilitymedian $562 · 10th to 90th $372 to $933Professionalmedian $447 · 10th to 90th $309 to $661
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 $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $407.38 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $239.88 Typical High $245.47 | Professional | 26 · Professional part | $199.53 | $239.88 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $204.17 | $257.04 | $257.04 |
BCBS Michigan Setting Facility Modifier None Typical Low $371.54 Median $549.54 Typical High $933.25 | Facility | None | $371.54 | $549.54 | $933.25 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $309.03 Median $616.60 Typical High $707.95 | Professional | None (both parts) | $309.03 | $616.60 | $707.95 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $331.13 | $331.13 | $331.13 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $467.74 Typical High $812.83 | Professional | None (both parts) | $338.84 | $467.74 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $295.12 Typical High $467.74 | Professional | 26 · Professional part | $165.96 | $295.12 | $467.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $229.09 Typical High $501.19 | Professional | TC · Technical part | $173.78 | $229.09 | $501.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $478.63 Median $794.33 Typical High $851.14 | Facility | None | $478.63 | $794.33 | $851.14 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $288.40 Median $389.05 Typical High $501.19 | Professional | None (both parts) | $288.40 | $389.05 | $501.19 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $199.53 Typical High $251.19 | Professional | 26 · Professional part | $151.36 | $199.53 | $251.19 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $186.21 Typical High $251.19 | Professional | TC · Technical part | $141.25 | $186.21 | $251.19 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $467.74 Typical High $812.83 | Professional | None (both parts) | $346.74 | $467.74 | $812.83 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $309.03 Typical High $407.38 | Professional | 26 · Professional part | $173.78 | $309.03 | $407.38 |
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 $316.23 Median $416.87 Typical High $616.60 | Professional | None (both parts) | $316.23 | $416.87 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $223.87 Typical High $323.59 | Professional | 26 · Professional part | $173.78 | $223.87 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $204.17 Typical High $295.12 | Professional | TC · Technical part | $147.91 | $204.17 | $295.12 |
6 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 $190.55 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $190.55 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $75.86 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $346.74 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $269.15 | $346.74 | $346.74 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $204.17 | $239.88 | $239.88 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $83.18 | $95.50 | $95.50 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $331.13 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $288.40 | $331.13 | $331.13 |
Where Michigan sits
The same service costs 5.6 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· 34th of 51
$457
AK $1,698FL $302
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.