How much rates vary
Facilitymedian $214 · 10th to 90th $141 to $407Professionalmedian $120 · 10th to 90th $85 to $170
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 $114.82 Median $117.49 Typical High $117.49 | Facility | None | $114.82 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $128.82 | Professional | None (both parts) | $93.33 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.88 Typical High $22.39 | Professional | 26 · Professional part | $17.78 | $21.88 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $109.65 | Professional | TC · Technical part | $75.86 | $95.50 | $109.65 |
BCBS Michigan Setting Facility Modifier None Typical Low $141.25 Median $208.93 Typical High $363.08 | Facility | None | $141.25 | $208.93 | $363.08 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $131.83 | $158.49 | $169.82 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $30.20 | $30.20 | $30.20 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $173.78 Typical High $269.15 | Professional | None (both parts) | $77.62 | $173.78 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $26.30 Typical High $42.66 | Professional | 26 · Professional part | $12.88 | $26.30 | $42.66 |
Health Alliance Plan Setting Facility Modifier None Typical Low $114.82 Median $229.09 Typical High $251.19 | Facility | None | $114.82 | $229.09 | $251.19 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $85.11 Median $109.65 Typical High $131.83 | Professional | None (both parts) | $85.11 | $109.65 | $131.83 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.88 Typical High $26.30 | Professional | 26 · Professional part | $16.60 | $21.88 | $26.30 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $107.15 | Professional | TC · Technical part | $67.61 | $89.13 | $107.15 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $93.33 | $151.36 | $269.15 |
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 $107.15 Median $123.03 Typical High $169.82 | Professional | None (both parts) | $107.15 | $123.03 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.99 Typical High $30.90 | Professional | 26 · Professional part | $20.42 | $23.99 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $141.25 | Professional | TC · Technical part | $85.11 | $100.00 | $141.25 |
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 $46.77 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $46.77 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $18.62 | $23.44 | $23.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $47.86 | $57.54 | $57.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $19.05 | $22.91 | $22.91 |
Where Michigan sits
The same service costs 5.0 times more in Alabama than in New York. 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· 39th of 51
$129
AL $479NY $95.50
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.