How much rates vary
Facilitymedian $339 · 10th to 90th $224 to $589Professionalmedian $200 · 10th to 90th $151 to $282
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 $190.55 Median $194.98 Typical High $194.98 | Facility | None | $190.55 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $213.80 | Professional | None (both parts) | $162.18 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $42.66 | Professional | 26 · Professional part | $33.88 | $41.69 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $154.88 Typical High $158.49 | Professional | TC · Technical part | $125.89 | $154.88 | $158.49 |
BCBS Michigan Setting Facility Modifier None Typical Low $223.87 Median $331.13 Typical High $575.44 | Facility | None | $223.87 | $331.13 | $575.44 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $53.70 Median $263.03 Typical High $281.84 | Professional | None (both parts) | $53.70 | $263.03 | $281.84 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $223.87 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $213.80 Typical High $398.11 | Professional | None (both parts) | $125.89 | $213.80 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $25.70 | $50.12 | $77.62 |
Health Alliance Plan Setting Facility Modifier None Typical Low $199.53 Median $407.38 Typical High $446.68 | Facility | None | $199.53 | $407.38 | $446.68 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $151.36 Median $194.98 Typical High $234.42 | Professional | None (both parts) | $151.36 | $194.98 | $234.42 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $47.86 | Professional | 26 · Professional part | $30.20 | $38.90 | $47.86 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $186.21 | Professional | TC · Technical part | $120.23 | $154.88 | $186.21 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $218.78 Typical High $389.05 | Professional | None (both parts) | $154.88 | $218.78 | $389.05 |
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 $165.96 Median $194.98 Typical High $263.03 | Professional | None (both parts) | $165.96 | $194.98 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $37.15 | $41.69 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $208.93 | Professional | TC · Technical part | $131.83 | $154.88 | $208.93 |
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 $77.62 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $77.62 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $31.62 | $39.81 | $39.81 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $79.43 | $100.00 | $100.00 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $31.62 | $39.81 | $39.81 |
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
$200
AK $562FL $148
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.