How much rates vary
Facilitymedian $389 · 10th to 90th $257 to $661Professionalmedian $240 · 10th to 90th $200 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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $169.82 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $32.36 | Professional | 26 · Professional part | $26.30 | $31.62 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $147.91 | $177.83 | $177.83 |
BCBS Michigan Setting Facility Modifier None Typical Low $257.04 Median $389.05 Typical High $660.69 | Facility | None | $257.04 | $389.05 | $660.69 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $281.84 | Professional | None (both parts) | $239.88 | $239.88 | $281.84 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $323.59 Typical High $549.54 | Professional | None (both parts) | $147.91 | $323.59 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $42.66 Typical High $67.61 | Professional | 26 · Professional part | $18.62 | $42.66 | $67.61 |
Health Alliance Plan Setting Facility Modifier None Typical Low $213.80 Median $549.54 Typical High $588.84 | Facility | None | $213.80 | $549.54 | $588.84 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $199.53 Median $213.80 Typical High $316.23 | Professional | None (both parts) | $199.53 | $213.80 | $316.23 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $26.92 | $32.36 | $43.65 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $181.97 Typical High $269.15 | Professional | TC · Technical part | $173.78 | $181.97 | $269.15 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $269.15 Typical High $501.19 | Professional | None (both parts) | $165.96 | $269.15 | $501.19 |
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 $208.93 Median $239.88 Typical High $323.59 | Professional | None (both parts) | $208.93 | $239.88 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $46.77 | Professional | 26 · Professional part | $29.51 | $35.48 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $204.17 Typical High $275.42 | Professional | TC · Technical part | $177.83 | $204.17 | $275.42 |
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 $85.11 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $85.11 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $33.88 | $41.69 | $41.69 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $89.13 | $104.71 | $104.71 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $35.48 | $42.66 | $42.66 |
Where Michigan sits
The same service costs 4.4 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· 36th of 51
$240
AK $741TX $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.