How much rates vary
Facilitymedian $380 · 10th to 90th $251 to $692Professionalmedian $282 · 10th to 90th $214 to $363
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 $245.47 Median $251.19 Typical High $251.19 | Facility | None | $245.47 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $208.93 | $251.19 | $251.19 |
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 $141.25 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $141.25 | $173.78 | $173.78 |
BCBS Michigan Setting Facility Modifier None Typical Low $251.19 Median $371.54 Typical High $645.65 | Facility | None | $251.19 | $371.54 | $645.65 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $104.71 Median $338.84 Typical High $363.08 | Professional | None (both parts) | $104.71 | $338.84 | $363.08 |
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 $251.19 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $251.19 | $251.19 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $380.19 Typical High $630.96 | Professional | None (both parts) | $194.98 | $380.19 | $630.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $257.04 Median $588.84 Typical High $630.96 | Facility | None | $257.04 | $588.84 | $630.96 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $331.13 | Professional | None (both parts) | $213.80 | $257.04 | $331.13 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $91.20 | Professional | 26 · Professional part | $57.54 | $74.13 | $91.20 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $173.78 Typical High $245.47 | Professional | TC · Technical part | $158.49 | $173.78 | $245.47 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $363.08 Typical High $630.96 | Professional | None (both parts) | $223.87 | $363.08 | $630.96 |
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 $251.19 Median $295.12 Typical High $416.87 | Professional | None (both parts) | $251.19 | $295.12 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $107.15 | Professional | 26 · Professional part | $70.79 | $81.28 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $218.78 Typical High $323.59 | Professional | TC · Technical part | $173.78 | $218.78 | $323.59 |
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 $102.33 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $102.33 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $40.74 | $50.12 | $50.12 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $102.33 | $128.82 | $128.82 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $40.74 | $51.29 | $51.29 |
Where Michigan sits
The same service costs 5.0 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· 39th of 51
$282
AK $891TX $178
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.