How much rates vary
Facilitymedian $1,175 · 10th to 90th $776 to $1,950Professionalmedian $977 · 10th to 90th $692 to $1,445
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,071.52 Typical High $1,096.48 | Professional | None (both parts) | $776.25 | $1,071.52 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $549.54 Typical High $602.56 | Professional | 26 · Professional part | $478.63 | $549.54 | $602.56 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $524.81 Typical High $537.03 | Professional | TC · Technical part | $309.03 | $524.81 | $537.03 |
BCBS Michigan Setting Facility Modifier None Typical Low $776.25 Median $1,174.90 Typical High $1,995.26 | Facility | None | $776.25 | $1,174.90 | $1,995.26 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,380.38 Typical High $1,548.82 | Professional | None (both parts) | $707.95 | $1,380.38 | $1,548.82 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 26 · Professional part | $758.58 | $758.58 | $758.58 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | TC · Technical part | $776.25 | $776.25 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,047.13 Typical High $1,819.70 | Professional | None (both parts) | $758.58 | $1,047.13 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $676.08 Typical High $1,202.26 | Professional | 26 · Professional part | $398.11 | $676.08 | $1,202.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $436.52 Typical High $1,071.52 | Professional | TC · Technical part | $288.40 | $436.52 | $1,071.52 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,047.13 Median $1,778.28 Typical High $1,949.84 | Facility | None | $1,047.13 | $1,778.28 | $1,949.84 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $660.69 Median $891.25 Typical High $1,148.15 | Professional | None (both parts) | $660.69 | $891.25 | $1,148.15 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $537.03 Typical High $741.31 | Professional | 26 · Professional part | $446.68 | $537.03 | $741.31 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $302.00 Typical High $524.81 | Professional | TC · Technical part | $213.80 | $302.00 | $524.81 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,023.29 Typical High $1,778.28 | Professional | None (both parts) | $776.25 | $1,023.29 | $1,778.28 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $758.58 Typical High $1,122.02 | Professional | 26 · Professional part | $446.68 | $758.58 | $1,122.02 |
United Setting Facility Modifier None Typical Low $707.95 Median $933.25 Typical High $1,949.84 | Facility | None | $707.95 | $933.25 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $741.31 Median $954.99 Typical High $1,318.26 | Professional | None (both parts) | $741.31 | $954.99 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $602.56 Typical High $794.33 | Professional | 26 · Professional part | $478.63 | $602.56 | $794.33 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $338.84 Typical High $562.34 | Professional | TC · Technical part | $234.42 | $338.84 | $562.34 |
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 $416.87 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $416.87 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $165.96 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $575.44 | $758.58 | $758.58 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $446.68 | $524.81 | $524.81 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $181.97 | $208.93 | $208.93 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $724.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $630.96 | $724.44 | $724.44 |
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· 35th of 51
$1,000
AK $3,715FL $661
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.