How much rates vary
Facilitymedian $407 · 10th to 90th $269 to $692Professionalmedian $251 · 10th to 90th $191 to $339
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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $190.55 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $51.29 | Professional | 26 · Professional part | $40.74 | $50.12 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $147.91 | $186.21 | $186.21 |
BCBS Michigan Setting Facility Modifier None Typical Low $269.15 Median $398.11 Typical High $691.83 | Facility | None | $269.15 | $398.11 | $691.83 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $66.07 Median $251.19 Typical High $338.84 | Professional | None (both parts) | $66.07 | $251.19 | $338.84 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $363.08 Typical High $512.86 | Professional | None (both parts) | $158.49 | $363.08 | $512.86 |
Health Alliance Plan Setting Facility Modifier None Typical Low $234.42 Median $524.81 Typical High $562.34 | Facility | None | $234.42 | $524.81 | $562.34 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $295.12 | Professional | None (both parts) | $194.98 | $234.42 | $295.12 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $58.88 | Professional | 26 · Professional part | $35.48 | $45.71 | $58.88 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $181.97 Typical High $239.88 | Professional | TC · Technical part | $158.49 | $181.97 | $239.88 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $213.80 | $288.40 | $489.78 |
United Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $1,513.56 | Facility | None | $562.34 | $724.44 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $218.78 | $257.04 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $66.07 | Professional | 26 · Professional part | $43.65 | $48.98 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $208.93 Typical High $288.40 | Professional | TC · Technical part | $173.78 | $208.93 | $288.40 |
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 $93.33 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $93.33 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $37.15 | $46.77 | $46.77 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $95.50 | $117.49 | $117.49 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $38.02 | $46.77 | $46.77 |
Where Michigan sits
The same service costs 4.6 times more in Alaska than in Texas. 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
$251
AK $832TX $182
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.