How much rates vary
Facilitymedian $468 · 10th to 90th $309 to $759Professionalmedian $257 · 10th to 90th $200 to $339
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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $213.80 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $43.65 | Professional | 26 · Professional part | $35.48 | $42.66 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $177.83 | $213.80 | $213.80 |
BCBS Michigan Setting Facility Modifier None Typical Low $309.03 Median $457.09 Typical High $794.33 | Facility | None | $309.03 | $457.09 | $794.33 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $54.95 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $54.95 | $288.40 | $338.84 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $309.03 | $309.03 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $169.82 | $331.13 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $26.30 | $51.29 | $81.28 |
Health Alliance Plan Setting Facility Modifier None Typical Low $263.03 Median $537.03 Typical High $575.44 | Facility | None | $263.03 | $537.03 | $575.44 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $199.53 Median $257.04 Typical High $316.23 | Professional | None (both parts) | $199.53 | $257.04 | $316.23 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $48.98 | Professional | 26 · Professional part | $30.20 | $39.81 | $48.98 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $213.80 Typical High $263.03 | Professional | TC · Technical part | $165.96 | $213.80 | $263.03 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $281.84 Typical High $501.19 | Professional | None (both parts) | $204.17 | $281.84 | $501.19 |
United Setting Facility Modifier None Typical Low $407.38 Median $537.03 Typical High $1,122.02 | Facility | None | $407.38 | $537.03 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $223.87 | $257.04 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $37.15 | $41.69 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $218.78 Typical High $295.12 | Professional | TC · Technical part | $186.21 | $218.78 | $295.12 |
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 $104.71 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $104.71 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $42.66 | $51.29 | $51.29 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $109.65 | $131.83 | $131.83 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $43.65 | $52.48 | $52.48 |
Where Michigan sits
The same service costs 4.6 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· 39th of 51
$263
AK $933FL $204
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.