How much rates vary
Facilitymedian $646 · 10th to 90th $427 to $1,148Professionalmedian $617 · 10th to 90th $398 to $871
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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $537.03 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $354.81 Typical High $363.08 | Professional | 26 · Professional part | $295.12 | $354.81 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $234.42 | $295.12 | $295.12 |
BCBS Michigan Setting Facility Modifier None Typical Low $426.58 Median $630.96 Typical High $1,096.48 | Facility | None | $426.58 | $630.96 | $1,096.48 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $398.11 Median $870.96 Typical High $933.25 | Professional | None (both parts) | $398.11 | $870.96 | $933.25 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 26 · Professional part | $501.19 | $501.19 | $501.19 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $691.83 Typical High $1,096.48 | Professional | None (both parts) | $446.68 | $691.83 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $446.68 Typical High $707.95 | Professional | 26 · Professional part | $251.19 | $446.68 | $707.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $263.03 Typical High $575.44 | Professional | TC · Technical part | $199.53 | $263.03 | $575.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $630.96 Median $1,047.13 Typical High $1,148.15 | Facility | None | $630.96 | $1,047.13 | $1,148.15 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $389.05 Median $524.81 Typical High $660.69 | Professional | None (both parts) | $389.05 | $524.81 | $660.69 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $302.00 Typical High $380.19 | Professional | 26 · Professional part | $229.09 | $302.00 | $380.19 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $218.78 Typical High $288.40 | Professional | TC · Technical part | $162.18 | $218.78 | $288.40 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $645.65 Typical High $1,071.52 | Professional | None (both parts) | $478.63 | $645.65 | $1,071.52 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $467.74 Typical High $616.60 | Professional | 26 · Professional part | $263.03 | $467.74 | $616.60 |
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 $436.52 Median $562.34 Typical High $831.76 | Professional | None (both parts) | $436.52 | $562.34 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $338.84 Typical High $489.78 | Professional | 26 · Professional part | $263.03 | $338.84 | $489.78 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $234.42 Typical High $346.74 | Professional | TC · Technical part | $173.78 | $234.42 | $346.74 |
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 $251.19 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $251.19 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $100.00 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $457.09 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $354.81 | $457.09 | $457.09 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $269.15 | $316.23 | $316.23 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $125.89 Typical High $125.89 | Professional | 53 · Discontinued | $109.65 | $125.89 | $125.89 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $436.52 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $380.19 | $436.52 | $436.52 |
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· 32nd of 51
$617
AK $2,239FL $398
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.