How much rates vary
Facilitymedian $214 · 10th to 90th $141 to $407Professionalmedian $132 · 10th to 90th $107 to $178
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 $123.03 Median $125.89 Typical High $125.89 | Facility | None | $123.03 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $102.33 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $28.84 | Professional | 26 · Professional part | $22.91 | $28.18 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $77.62 | $97.72 | $97.72 |
BCBS Michigan Setting Facility Modifier None Typical Low $141.25 Median $213.80 Typical High $363.08 | Facility | None | $141.25 | $213.80 | $363.08 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $36.31 Median $162.18 Typical High $169.82 | Professional | None (both parts) | $36.31 | $162.18 | $169.82 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $83.18 | $208.93 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $16.60 | $38.02 | $60.26 |
Health Alliance Plan Setting Facility Modifier None Typical Low $123.03 Median $295.12 Typical High $316.23 | Facility | None | $123.03 | $295.12 | $316.23 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $173.78 | Professional | None (both parts) | $107.15 | $123.03 | $173.78 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.84 Typical High $38.90 | Professional | 26 · Professional part | $23.99 | $28.84 | $38.90 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $93.33 Typical High $134.90 | Professional | TC · Technical part | $83.18 | $93.33 | $134.90 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $165.96 Typical High $302.00 | Professional | None (both parts) | $100.00 | $165.96 | $302.00 |
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 $114.82 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $114.82 | $151.36 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $42.66 | Professional | 26 · Professional part | $26.30 | $31.62 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $114.82 Typical High $173.78 | Professional | TC · Technical part | $89.13 | $114.82 | $173.78 |
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 $48.98 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $48.98 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $19.50 | $25.12 | $25.12 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $51.29 | $61.66 | $61.66 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $20.42 | $24.55 | $24.55 |
Where Michigan sits
The same service costs 4.6 times more in Alabama than in Texas. 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
$141
AL $479TX $105
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.