How much rates vary
Facilitymedian $363 · 10th to 90th $240 to $631Professionalmedian $191 · 10th to 90th $145 to $257
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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $154.88 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $24.55 | Professional | 26 · Professional part | $19.50 | $23.99 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $134.90 | $165.96 | $165.96 |
BCBS Michigan Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $616.60 | Facility | None | $239.88 | $363.08 | $616.60 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $229.09 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $229.09 | $257.04 | $257.04 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $389.05 | Professional | TC · Technical part | $239.88 | $239.88 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $223.87 Typical High $416.87 | Professional | None (both parts) | $123.03 | $223.87 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $14.79 | $30.90 | $44.67 |
Health Alliance Plan Setting Facility Modifier None Typical Low $190.55 Median $389.05 Typical High $426.58 | Facility | None | $190.55 | $389.05 | $426.58 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $144.54 Median $186.21 Typical High $234.42 | Professional | None (both parts) | $144.54 | $186.21 | $234.42 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.38 Typical High $27.54 | Professional | 26 · Professional part | $16.60 | $21.38 | $27.54 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $204.17 | Professional | TC · Technical part | $128.82 | $165.96 | $204.17 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $223.87 Typical High $398.11 | Professional | None (both parts) | $154.88 | $223.87 | $398.11 |
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 $154.88 Median $190.55 Typical High $257.04 | Professional | None (both parts) | $154.88 | $190.55 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.44 Typical High $31.62 | Professional | 26 · Professional part | $20.42 | $23.44 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $165.96 Typical High $229.09 | Professional | TC · Technical part | $134.90 | $165.96 | $229.09 |
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 $77.62 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $77.62 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $30.90 | $38.02 | $38.02 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $83.18 | $95.50 | $95.50 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $33.11 | $38.02 | $38.02 |
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· 39th of 51
$191
AK $676TX $145
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.