How much rates vary
Facilitymedian $389 · 10th to 90th $257 to $676Professionalmedian $240 · 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 $239.88 Typical High $239.88 | Facility | None | $234.42 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $194.98 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $66.07 | Professional | 26 · Professional part | $52.48 | $64.57 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $144.54 | $177.83 | $177.83 |
BCBS Michigan Setting Facility Modifier None Typical Low $257.04 Median $389.05 Typical High $660.69 | Facility | None | $257.04 | $389.05 | $660.69 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $83.18 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $83.18 | $239.88 | $346.74 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $257.04 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $363.08 Typical High $549.54 | Professional | None (both parts) | $162.18 | $363.08 | $549.54 |
Health Alliance Plan Setting Facility Modifier None Typical Low $239.88 Median $575.44 Typical High $1,202.26 | Facility | None | $239.88 | $575.44 | $1,202.26 |
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 $45.71 Median $58.88 Typical High $74.13 | Professional | 26 · Professional part | $45.71 | $58.88 | $74.13 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $177.83 Typical High $229.09 | Professional | TC · Technical part | $151.36 | $177.83 | $229.09 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $323.59 Typical High $549.54 | Professional | None (both parts) | $208.93 | $323.59 | $549.54 |
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 $234.42 Median $263.03 Typical High $363.08 | Professional | None (both parts) | $234.42 | $263.03 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $87.10 | Professional | 26 · Professional part | $57.54 | $63.10 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $204.17 Typical High $288.40 | Professional | TC · Technical part | $169.82 | $204.17 | $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 $38.90 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $38.90 | $47.86 | $47.86 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $97.72 | $120.23 | $120.23 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $38.90 | $48.98 | $48.98 |
Where Michigan sits
The same service costs 4.7 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
$251
AK $851TX $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.