How much rates vary
Facilitymedian $427 · 10th to 90th $282 to $724Professionalmedian $219 · 10th to 90th $162 to $316
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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $177.83 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $28.84 | Professional | 26 · Professional part | $21.88 | $28.18 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $154.88 | $194.98 | $194.98 |
BCBS Michigan Setting Facility Modifier None Typical Low $281.84 Median $416.87 Typical High $724.44 | Facility | None | $281.84 | $416.87 | $724.44 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $35.48 Median $281.84 Typical High $316.23 | Professional | None (both parts) | $35.48 | $281.84 | $316.23 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $281.84 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $229.09 Typical High $467.74 | Professional | None (both parts) | $141.25 | $229.09 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $32.36 Typical High $48.98 | Professional | 26 · Professional part | $16.22 | $32.36 | $48.98 |
Health Alliance Plan Setting Facility Modifier None Typical Low $218.78 Median $446.68 Typical High $478.63 | Facility | None | $218.78 | $446.68 | $478.63 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $263.03 | Professional | None (both parts) | $162.18 | $213.80 | $263.03 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.44 Typical High $30.20 | Professional | 26 · Professional part | $18.20 | $23.44 | $30.20 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $186.21 Typical High $229.09 | Professional | TC · Technical part | $144.54 | $186.21 | $229.09 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $446.68 | Professional | None (both parts) | $158.49 | $229.09 | $446.68 |
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 $177.83 Median $213.80 Typical High $281.84 | Professional | None (both parts) | $177.83 | $213.80 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $35.48 | Professional | 26 · Professional part | $22.91 | $26.30 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $186.21 Typical High $257.04 | Professional | TC · Technical part | $154.88 | $186.21 | $257.04 |
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 $89.13 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $89.13 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $35.48 | $44.67 | $44.67 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $95.50 | $109.65 | $109.65 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $38.02 | $43.65 | $43.65 |
Where Michigan sits
The same service costs 4.6 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· 37th of 51
$224
AK $776KY $170
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.