How much rates vary
Facilitymedian $347 · 10th to 90th $229 to $589Professionalmedian $191 · 10th to 90th $151 to $257
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 $169.82 Median $173.78 Typical High $173.78 | Facility | None | $169.82 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $144.54 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.62 Typical High $19.50 | Professional | 26 · Professional part | $15.49 | $18.62 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $131.83 | $158.49 | $158.49 |
BCBS Michigan Setting Facility Modifier None Typical Low $229.09 Median $338.84 Typical High $588.84 | Facility | None | $229.09 | $338.84 | $588.84 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $23.99 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $23.99 | $239.88 | $239.88 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $25.70 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $204.17 Typical High $457.09 | Professional | None (both parts) | $112.20 | $204.17 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $25.12 Typical High $38.90 | Professional | 26 · Professional part | $10.96 | $25.12 | $38.90 |
Health Alliance Plan Setting Facility Modifier None Typical Low $177.83 Median $446.68 Typical High $489.78 | Facility | None | $177.83 | $446.68 | $489.78 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $165.96 Median $177.83 Typical High $257.04 | Professional | None (both parts) | $165.96 | $177.83 | $257.04 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.50 Typical High $25.12 | Professional | 26 · Professional part | $15.14 | $19.50 | $25.12 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $158.49 Typical High $234.42 | Professional | TC · Technical part | $151.36 | $158.49 | $234.42 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $416.87 | Professional | None (both parts) | $138.04 | $204.17 | $416.87 |
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 $154.88 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $154.88 | $186.21 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.89 Typical High $27.54 | Professional | 26 · Professional part | $17.38 | $20.89 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $165.96 Typical High $239.88 | Professional | TC · Technical part | $144.54 | $165.96 | $239.88 |
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 $72.44 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $72.44 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $28.84 | $35.48 | $35.48 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $79.43 | $89.13 | $89.13 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $31.62 | $35.48 | $35.48 |
Where Michigan sits
The same service costs 4.5 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· 31st of 51
$209
AK $631FL $141
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.