How much rates vary
Facilitymedian $427 · 10th to 90th $282 to $708Professionalmedian $224 · 10th to 90th $52 to $339
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 $223.87 Typical High $223.87 | Facility | None | $218.78 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $181.97 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $39.81 | Professional | 26 · Professional part | $32.36 | $38.90 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $151.36 | $186.21 | $186.21 |
BCBS Michigan Setting Facility Modifier None Typical Low $281.84 Median $426.58 Typical High $724.44 | Facility | None | $281.84 | $426.58 | $724.44 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $52.48 Median $316.23 Typical High $338.84 | Professional | None (both parts) | $52.48 | $316.23 | $338.84 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
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 $144.54 Median $245.47 Typical High $489.78 | Professional | None (both parts) | $144.54 | $245.47 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $22.91 | $48.98 | $74.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $223.87 Median $501.19 Typical High $549.54 | Facility | None | $223.87 | $501.19 | $549.54 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $281.84 | Professional | None (both parts) | $186.21 | $223.87 | $281.84 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $45.71 | Professional | 26 · Professional part | $28.18 | $37.15 | $45.71 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $186.21 Typical High $239.88 | Professional | TC · Technical part | $158.49 | $186.21 | $239.88 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $245.47 Typical High $467.74 | Professional | None (both parts) | $181.97 | $245.47 | $467.74 |
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 $190.55 Median $223.87 Typical High $309.03 | Professional | None (both parts) | $190.55 | $223.87 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $34.67 | $38.90 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $186.21 Typical High $257.04 | Professional | TC · Technical part | $158.49 | $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 $91.20 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $91.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $36.31 | $45.71 | $45.71 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $93.33 | $112.20 | $112.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $37.15 | $44.67 | $44.67 |
Where Michigan sits
The same service costs 4.6 times more in Alaska 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· 35th of 51
$234
AK $794TX $174
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.