How much rates vary
Facilitymedian $158 · 10th to 90th $105 to $309Professionalmedian $81 · 10th to 90th $66 to $112
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 $77.62 Median $79.43 Typical High $79.43 | Facility | None | $77.62 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $64.57 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.12 Typical High $9.33 | Professional | 26 · Professional part | $7.41 | $9.12 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $57.54 | $72.44 | $72.44 |
BCBS Michigan Setting Facility Modifier None Typical Low $104.71 Median $154.88 Typical High $269.15 | Facility | None | $104.71 | $154.88 | $269.15 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $11.75 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $11.75 | $109.65 | $109.65 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 26 · Professional part | $12.59 | $12.59 | $12.59 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $97.72 Typical High $208.93 | Professional | None (both parts) | $50.12 | $97.72 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $12.02 Typical High $18.62 | Professional | 26 · Professional part | $5.50 | $12.02 | $18.62 |
Health Alliance Plan Setting Facility Modifier None Typical Low $77.62 Median $181.97 Typical High $199.53 | Facility | None | $77.62 | $181.97 | $199.53 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $67.61 Median $77.62 Typical High $104.71 | Professional | None (both parts) | $67.61 | $77.62 | $104.71 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.33 Typical High $12.02 | Professional | 26 · Professional part | $7.41 | $9.33 | $12.02 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $67.61 Typical High $93.33 | Professional | TC · Technical part | $60.26 | $67.61 | $93.33 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $85.11 Typical High $204.17 | Professional | None (both parts) | $57.54 | $85.11 | $204.17 |
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 $64.57 Median $77.62 Typical High $117.49 | Professional | None (both parts) | $64.57 | $77.62 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $13.18 | Professional | 26 · Professional part | $8.32 | $10.00 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $67.61 Typical High $104.71 | Professional | TC · Technical part | $58.88 | $67.61 | $104.71 |
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 $32.36 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $32.36 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $12.88 | $16.22 | $16.22 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $33.88 | $38.90 | $38.90 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $13.49 | $15.49 | $15.49 |
Where Michigan sits
The same service costs 8.1 times more in Alabama than in Indiana. 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· 31st of 51
$87.10
AL $513IN $63.10
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.