How much rates vary
Facilitymedian $646 · 10th to 90th $427 to $1,047Professionalmedian $363 · 10th to 90th $275 to $468
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 $346.74 Median $354.81 Typical High $354.81 | Facility | None | $346.74 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $354.81 Typical High $512.86 | Professional | None (both parts) | $263.03 | $354.81 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $75.86 | Professional | 26 · Professional part | $42.66 | $53.70 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $302.00 Typical High $407.38 | Professional | TC · Technical part | $218.78 | $302.00 | $407.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
BCBS Michigan Setting Facility Modifier None Typical Low $426.58 Median $645.65 Typical High $1,096.48 | Facility | None | $426.58 | $645.65 | $1,096.48 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $398.11 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $398.11 | $467.74 | $467.74 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $398.11 Typical High $758.58 | Professional | None (both parts) | $234.42 | $398.11 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $66.07 Typical High $102.33 | Professional | 26 · Professional part | $32.36 | $66.07 | $102.33 |
Health Alliance Plan Setting Facility Modifier None Typical Low $363.08 Median $758.58 Typical High $812.83 | Facility | None | $363.08 | $758.58 | $812.83 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $275.42 Median $346.74 Typical High $446.68 | Professional | None (both parts) | $275.42 | $346.74 | $446.68 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $61.66 | Professional | 26 · Professional part | $38.02 | $48.98 | $61.66 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $239.88 | $302.00 | $389.05 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $398.11 Typical High $691.83 | Professional | None (both parts) | $234.42 | $398.11 | $691.83 |
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 $295.12 Median $363.08 Typical High $478.63 | Professional | None (both parts) | $295.12 | $363.08 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $45.71 | $52.48 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $251.19 | $309.03 | $416.87 |
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 $147.91 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $147.91 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $58.88 | $72.44 | $72.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $154.88 | $181.97 | $181.97 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $61.66 | $72.44 | $72.44 |
Where Michigan sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 37th of 51
$363
AK $1,047FL $275
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.