How much rates vary
Facilitymedian $389 · 10th to 90th $257 to $661Professionalmedian $209 · 10th to 90th $155 to $275
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 $199.53 Median $204.17 Typical High $204.17 | Facility | None | $199.53 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $165.96 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $27.54 | Professional | 26 · Professional part | $21.38 | $26.92 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $144.54 | $181.97 | $181.97 |
BCBS Michigan Setting Facility Modifier None Typical Low $257.04 Median $380.19 Typical High $660.69 | Facility | None | $257.04 | $380.19 | $660.69 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $239.88 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $239.88 | $275.42 | $275.42 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $257.04 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $229.09 Typical High $426.58 | Professional | None (both parts) | $131.83 | $229.09 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $33.11 Typical High $51.29 | Professional | 26 · Professional part | $16.22 | $33.11 | $51.29 |
Health Alliance Plan Setting Facility Modifier None Typical Low $208.93 Median $416.87 Typical High $457.09 | Facility | None | $208.93 | $416.87 | $457.09 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $154.88 Median $199.53 Typical High $251.19 | Professional | None (both parts) | $154.88 | $199.53 | $251.19 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.12 Typical High $30.90 | Professional | 26 · Professional part | $19.05 | $25.12 | $30.90 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $173.78 Typical High $218.78 | Professional | TC · Technical part | $134.90 | $173.78 | $218.78 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $229.09 Typical High $398.11 | Professional | None (both parts) | $165.96 | $229.09 | $398.11 |
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 $165.96 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $165.96 | $199.53 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $33.88 | Professional | 26 · Professional part | $22.39 | $25.70 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $239.88 | Professional | TC · Technical part | $141.25 | $177.83 | $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 $83.18 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $83.18 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $33.11 | $41.69 | $41.69 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $89.13 | $102.33 | $102.33 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $36.31 | $41.69 | $41.69 |
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· 36th of 51
$209
AK $741KY $162
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.