How much rates vary
Facilitymedian $48 · 10th to 90th $32 to $129Professionalmedian $58 · 10th to 90th $36 to $98
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 $20.89 Median $47.86 Typical High $47.86 | Facility | None | $20.89 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $38.02 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.30 Typical High $26.92 | Professional | 26 · Professional part | $21.88 | $26.30 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.88 Typical High $21.88 | Professional | TC · Technical part | $17.38 | $21.88 | $21.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $32.36 Median $47.86 Typical High $81.28 | Facility | None | $32.36 | $47.86 | $81.28 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $35.48 Median $66.07 Typical High $70.79 | Professional | None (both parts) | $35.48 | $66.07 | $70.79 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | TC · Technical part | $32.36 | $32.36 | $32.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $77.62 Typical High $489.78 | Professional | None (both parts) | $30.90 | $77.62 | $489.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $20.89 Median $134.90 Typical High $147.91 | Facility | None | $20.89 | $134.90 | $147.91 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $47.86 Median $50.12 Typical High $72.44 | Professional | None (both parts) | $47.86 | $50.12 | $72.44 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.12 Typical High $30.90 | Professional | 26 · Professional part | $19.05 | $25.12 | $30.90 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $30.90 Typical High $43.65 | Professional | TC · Technical part | $20.89 | $30.90 | $43.65 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $72.44 Typical High $316.23 | Professional | None (both parts) | $40.74 | $72.44 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $66.07 Typical High $213.80 | Professional | None (both parts) | $44.67 | $66.07 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $27.54 Typical High $36.31 | Professional | 26 · Professional part | $24.55 | $27.54 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $31.62 Typical High $158.49 | Professional | TC · Technical part | $19.50 | $31.62 | $158.49 |
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 $18.62 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $18.62 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $7.41 | $9.55 | $9.55 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $18.62 | $23.99 | $23.99 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $7.41 | $9.55 | $9.55 |
Where Michigan sits
The same service costs 7.2 times more in Alabama than in Florida. 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
$54.95
AL $251FL $34.67
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.