How much rates vary
Facilitymedian $631 · 10th to 90th $347 to $1,072Professionalmedian $347 · 10th to 90th $229 to $479
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 $331.13 Median $338.84 Typical High $354.81 | Facility | None | $331.13 | $338.84 | $354.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $288.40 Median $302.00 Typical High $707.95 | Facility | TC · Technical part | $288.40 | $302.00 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $338.84 Typical High $549.54 | Professional | None (both parts) | $275.42 | $338.84 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $67.61 | Professional | 26 · Professional part | $35.48 | $43.65 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $295.12 Typical High $478.63 | Professional | TC · Technical part | $239.88 | $295.12 | $478.63 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $35.48 | $36.31 | $54.95 |
BCBS Michigan Setting Facility Modifier None Typical Low $416.87 Median $630.96 Typical High $1,071.52 | Facility | None | $416.87 | $630.96 | $1,071.52 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $389.05 Median $446.68 Typical High $478.63 | Professional | None (both parts) | $389.05 | $446.68 | $478.63 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $331.13 Typical High $645.65 | Professional | None (both parts) | $218.78 | $331.13 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $26.30 | $48.98 | $81.28 |
Health Alliance Plan Setting Facility Modifier None Typical Low $354.81 Median $676.08 Typical High $1,096.48 | Facility | None | $354.81 | $676.08 | $1,096.48 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $91.20 | Facility | 26 · Professional part | $43.65 | $45.71 | $91.20 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $501.19 Typical High $2,630.27 | Facility | TC · Technical part | $295.12 | $501.19 | $2,630.27 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $229.09 Median $309.03 Typical High $407.38 | Professional | None (both parts) | $229.09 | $309.03 | $407.38 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $40.74 | $63.10 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $275.42 Typical High $346.74 | Professional | TC · Technical part | $199.53 | $275.42 | $346.74 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $346.74 Typical High $630.96 | Professional | None (both parts) | $229.09 | $346.74 | $630.96 |
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 $245.47 Median $309.03 Typical High $457.09 | Professional | None (both parts) | $245.47 | $309.03 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $35.48 | $41.69 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $269.15 Typical High $407.38 | Professional | TC · Technical part | $208.93 | $269.15 | $407.38 |
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 $138.04 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $138.04 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $54.95 | $67.61 | $67.61 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $151.36 | $173.78 | $173.78 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $60.26 | $69.18 | $69.18 |
Where Michigan sits
The same service costs 3.5 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· 28th of 51
$372
AK $933KY $263
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.