How much rates vary
Facilitymedian $589 · 10th to 90th $363 to $1,023Professionalmedian $363 · 10th to 90th $275 to $501
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 $446.68 | Facility | None | $346.74 | $354.81 | $446.68 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $309.03 Typical High $954.99 | Facility | TC · Technical part | $295.12 | $309.03 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $575.44 | Professional | None (both parts) | $281.84 | $354.81 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $85.11 | Professional | 26 · Professional part | $43.65 | $54.95 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $302.00 Typical High $489.78 | Professional | TC · Technical part | $239.88 | $302.00 | $489.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $54.95 | $67.61 | $67.61 |
BCBS Michigan Setting Facility Modifier None Typical Low $426.58 Median $630.96 Typical High $1,096.48 | Facility | None | $426.58 | $630.96 | $1,096.48 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $95.50 Median $467.74 Typical High $501.19 | Professional | None (both parts) | $95.50 | $467.74 | $501.19 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $426.58 Typical High $575.44 | Professional | TC · Technical part | $426.58 | $426.58 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $389.05 Typical High $758.58 | Professional | None (both parts) | $229.09 | $389.05 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $67.61 Typical High $104.71 | Professional | 26 · Professional part | $33.11 | $67.61 | $104.71 |
Health Alliance Plan Setting Facility Modifier None Typical Low $363.08 Median $602.56 Typical High $1,023.29 | Facility | None | $363.08 | $602.56 | $1,023.29 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $562.34 Typical High $954.99 | Facility | TC · Technical part | $302.00 | $562.34 | $954.99 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $275.42 Median $354.81 Typical High $446.68 | Professional | None (both parts) | $275.42 | $354.81 | $446.68 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $64.57 | Professional | 26 · Professional part | $38.90 | $51.29 | $64.57 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $302.00 Typical High $380.19 | Professional | TC · Technical part | $239.88 | $302.00 | $380.19 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $389.05 Typical High $691.83 | Professional | None (both parts) | $275.42 | $389.05 | $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 $354.81 Typical High $478.63 | Professional | None (both parts) | $295.12 | $354.81 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $70.79 | Professional | 26 · Professional part | $46.77 | $53.70 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $245.47 | $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 $144.54 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $144.54 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $58.88 | $70.79 | $70.79 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $151.36 | $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 4.7 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· 37th of 51
$372
AK $1,288KY $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.