How much rates vary
Facilitymedian $891 · 10th to 90th $589 to $1,622Professionalmedian $468 · 10th to 90th $339 to $646
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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $371.54 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $33.88 | $41.69 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $338.84 | $416.87 | $416.87 |
BCBS Michigan Setting Facility Modifier None Typical Low $588.84 Median $870.96 Typical High $1,513.56 | Facility | None | $588.84 | $870.96 | $1,513.56 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $52.48 Median $602.56 Typical High $645.65 | Professional | None (both parts) | $52.48 | $602.56 | $645.65 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $467.74 Typical High $933.25 | Professional | None (both parts) | $295.12 | $467.74 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $25.12 | $46.77 | $72.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $467.74 Median $912.01 Typical High $1,000.00 | Facility | None | $467.74 | $912.01 | $1,000.00 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $338.84 Median $436.52 Typical High $549.54 | Professional | None (both parts) | $338.84 | $436.52 | $549.54 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $44.67 | Professional | 26 · Professional part | $27.54 | $36.31 | $44.67 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $398.11 Typical High $501.19 | Professional | TC · Technical part | $309.03 | $398.11 | $501.19 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $467.74 Typical High $870.96 | Professional | None (both parts) | $302.00 | $467.74 | $870.96 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $3,630.78 | Facility | None | $1,318.26 | $1,737.80 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $446.68 Typical High $616.60 | Professional | None (both parts) | $363.08 | $446.68 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $33.88 | $38.90 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $407.38 Typical High $575.44 | Professional | TC · Technical part | $331.13 | $407.38 | $575.44 |
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 $186.21 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $186.21 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $74.13 | $91.20 | $91.20 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $208.93 | $234.42 | $234.42 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $85.11 | $93.33 | $93.33 |
Where Michigan sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 36th of 51
$468
AK $1,585KY $347
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.