How much rates vary
Facilitymedian $490 · 10th to 90th $302 to $794Professionalmedian $309 · 10th to 90th $251 to $437
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 $295.12 Median $295.12 Typical High $302.00 | Facility | None | $295.12 | $295.12 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $302.00 Typical High $371.54 | Professional | None (both parts) | $251.19 | $302.00 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $81.28 | Professional | 26 · Professional part | $64.57 | $79.43 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $223.87 Typical High $295.12 | Professional | TC · Technical part | $181.97 | $223.87 | $295.12 |
BCBS Michigan Setting Facility Modifier None Typical Low $331.13 Median $489.78 Typical High $851.14 | Facility | None | $331.13 | $489.78 | $851.14 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $104.71 Median $309.03 Typical High $436.52 | Professional | None (both parts) | $104.71 | $309.03 | $436.52 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | TC · Technical part | $331.13 | $331.13 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $457.09 Typical High $660.69 | Professional | None (both parts) | $223.87 | $457.09 | $660.69 |
Health Alliance Plan Setting Facility Modifier None Typical Low $302.00 Median $630.96 Typical High $741.31 | Facility | None | $302.00 | $630.96 | $741.31 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $524.81 Typical High $707.95 | Facility | TC · Technical part | $223.87 | $524.81 | $707.95 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $251.19 Median $302.00 Typical High $389.05 | Professional | None (both parts) | $251.19 | $302.00 | $389.05 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $91.20 | Professional | 26 · Professional part | $56.23 | $74.13 | $91.20 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $223.87 Typical High $295.12 | Professional | TC · Technical part | $194.98 | $223.87 | $295.12 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $398.11 Typical High $660.69 | Professional | None (both parts) | $239.88 | $398.11 | $660.69 |
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 $338.84 Typical High $467.74 | Professional | None (both parts) | $295.12 | $338.84 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $70.79 | $79.43 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $257.04 Typical High $346.74 | Professional | TC · Technical part | $218.78 | $257.04 | $346.74 |
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 $120.23 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $120.23 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $48.98 | $60.26 | $60.26 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $123.03 | $151.36 | $151.36 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $48.98 | $61.66 | $61.66 |
Where Michigan sits
The same service costs 5.1 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· 43rd of 51
$309
AK $1,096TX $214
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.