How much rates vary
Facilitymedian $501 · 10th to 90th $339 to $832Professionalmedian $288 · 10th to 90th $186 to $398
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 $275.42 Median $281.84 Typical High $281.84 | Facility | None | $275.42 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $229.09 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $46.77 | Professional | 26 · Professional part | $37.15 | $45.71 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $190.55 | $239.88 | $239.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $338.84 Median $501.19 Typical High $870.96 | Facility | None | $338.84 | $501.19 | $870.96 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $316.23 Median $371.54 Typical High $398.11 | Professional | None (both parts) | $316.23 | $371.54 | $398.11 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $457.09 | Professional | TC · Technical part | $338.84 | $338.84 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $302.00 Typical High $537.03 | Professional | None (both parts) | $186.21 | $302.00 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $56.23 Typical High $85.11 | Professional | 26 · Professional part | $27.54 | $56.23 | $85.11 |
Health Alliance Plan Setting Facility Modifier None Typical Low $288.40 Median $501.19 Typical High $549.54 | Facility | None | $288.40 | $501.19 | $549.54 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $186.21 Median $245.47 Typical High $295.12 | Professional | None (both parts) | $186.21 | $245.47 | $295.12 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $52.48 | Professional | 26 · Professional part | $31.62 | $41.69 | $52.48 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $204.17 Typical High $245.47 | Professional | TC · Technical part | $154.88 | $204.17 | $245.47 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $512.86 | Professional | None (both parts) | $213.80 | $302.00 | $512.86 |
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 $199.53 Median $251.19 Typical High $371.54 | Professional | None (both parts) | $199.53 | $251.19 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $57.54 | Professional | 26 · Professional part | $38.02 | $43.65 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $208.93 Typical High $302.00 | Professional | TC · Technical part | $162.18 | $208.93 | $302.00 |
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 $114.82 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $114.82 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $45.71 | $56.23 | $56.23 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $123.03 | $144.54 | $144.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $48.98 | $57.54 | $57.54 |
Where Michigan sits
The same service costs 5.0 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· 36th of 51
$288
AK $1,000KY $200
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.