How much rates vary
Facilitymedian $417 · 10th to 90th $251 to $741Professionalmedian $251 · 10th to 90th $195 to $347
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 $234.42 Median $234.42 Typical High $302.00 | Facility | None | $234.42 | $234.42 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $239.88 Typical High $380.19 | Professional | None (both parts) | $218.78 | $239.88 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $42.66 | $52.48 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $186.21 Typical High $275.42 | Professional | TC · Technical part | $173.78 | $186.21 | $275.42 |
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 $69.18 Median $323.59 Typical High $346.74 | Professional | None (both parts) | $69.18 | $323.59 | $346.74 |
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 |
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 $186.21 Median $316.23 Typical High $501.19 | Professional | None (both parts) | $186.21 | $316.23 | $501.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $251.19 Median $575.44 Typical High $831.76 | Facility | None | $251.19 | $575.44 | $831.76 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $436.52 Typical High $758.58 | Facility | TC · Technical part | $186.21 | $436.52 | $758.58 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $302.00 | Professional | None (both parts) | $194.98 | $239.88 | $302.00 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $38.02 | $50.12 | $64.57 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $186.21 Typical High $239.88 | Professional | TC · Technical part | $154.88 | $186.21 | $239.88 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $501.19 | Professional | None (both parts) | $213.80 | $302.00 | $501.19 |
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 $229.09 Median $263.03 Typical High $354.81 | Professional | None (both parts) | $229.09 | $263.03 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $70.79 | Professional | 26 · Professional part | $46.77 | $52.48 | $70.79 |
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 $95.50 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $95.50 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $38.02 | $47.86 | $47.86 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $95.50 | $120.23 | $120.23 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $38.02 | $47.86 | $47.86 |
Where Michigan sits
The same service costs 3.5 times more in Wisconsin 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· 38th of 51
$251
WI $676TX $191
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.