How much rates vary
Facilitymedian $257 · 10th to 90th $170 to $468Professionalmedian $158 · 10th to 90th $132 to $229
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $114.82 | $144.54 | $144.54 |
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 $95.50 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $95.50 | $114.82 | $114.82 |
BCBS Michigan Setting Facility Modifier None Typical Low $169.82 Median $257.04 Typical High $436.52 | Facility | None | $169.82 | $257.04 | $436.52 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $194.98 | Professional | None (both parts) | $151.36 | $186.21 | $194.98 |
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 $169.82 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $169.82 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $234.42 Typical High $524.81 | Professional | None (both parts) | $93.33 | $234.42 | $524.81 |
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 $138.04 Median $354.81 Typical High $389.05 | Facility | None | $138.04 | $354.81 | $389.05 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $208.93 | Professional | None (both parts) | $131.83 | $141.25 | $208.93 |
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 $109.65 Median $114.82 Typical High $169.82 | Professional | TC · Technical part | $109.65 | $114.82 | $169.82 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $199.53 Typical High $436.52 | Professional | None (both parts) | $114.82 | $199.53 | $436.52 |
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 $128.82 Median $186.21 Typical High $295.12 | Professional | None (both parts) | $128.82 | $186.21 | $295.12 |
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 $102.33 Median $158.49 Typical High $234.42 | Professional | TC · Technical part | $102.33 | $158.49 | $234.42 |
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 $57.54 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $57.54 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $22.91 | $28.84 | $28.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $57.54 | $69.18 | $69.18 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $28.18 | $28.18 |
Where Michigan sits
The same service costs 5.2 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· 42nd of 51
$170
AL $550TX $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.