How much rates vary
Facilitymedian $550 · 10th to 90th $363 to $1,072Professionalmedian $372 · 10th to 90th $288 to $513
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 $354.81 Median $363.08 Typical High $380.19 | Facility | None | $354.81 | $363.08 | $380.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $309.03 Typical High $954.99 | Facility | TC · Technical part | $295.12 | $309.03 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $363.08 Typical High $575.44 | Professional | None (both parts) | $295.12 | $363.08 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $85.11 | Professional | 26 · Professional part | $51.29 | $64.57 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $302.00 Typical High $446.68 | Professional | TC · Technical part | $239.88 | $302.00 | $446.68 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $54.95 | $54.95 | $79.43 |
BCBS Michigan Setting Facility Modifier None Typical Low $426.58 Median $630.96 Typical High $1,096.48 | Facility | None | $426.58 | $630.96 | $1,096.48 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $83.18 Median $478.63 Typical High $512.86 | Professional | None (both parts) | $83.18 | $478.63 | $512.86 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $363.08 Typical High $776.25 | Professional | None (both parts) | $234.42 | $363.08 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $79.43 Typical High $123.03 | Professional | 26 · Professional part | $38.90 | $79.43 | $123.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $363.08 Median $524.81 Typical High $1,071.52 | Facility | None | $363.08 | $524.81 | $1,071.52 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $457.09 Typical High $724.44 | Facility | TC · Technical part | $302.00 | $457.09 | $724.44 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $288.40 Median $363.08 Typical High $457.09 | Professional | None (both parts) | $288.40 | $363.08 | $457.09 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $79.43 | Professional | 26 · Professional part | $46.77 | $60.26 | $79.43 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $302.00 Typical High $380.19 | Professional | TC · Technical part | $239.88 | $302.00 | $380.19 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $371.54 Typical High $707.95 | Professional | None (both parts) | $288.40 | $371.54 | $707.95 |
United Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $1,513.56 | Facility | None | $562.34 | $724.44 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $363.08 Typical High $489.78 | Professional | None (both parts) | $295.12 | $363.08 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $63.10 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $63.10 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $239.88 | $309.03 | $416.87 |
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 $147.91 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $147.91 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $60.26 | $72.44 | $72.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $151.36 | $186.21 | $186.21 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $61.66 | $74.13 | $74.13 |
Where Michigan sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 38th of 51
$372
AK $1,047KY $263
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.