How much rates vary
Facilitymedian $2,089 · 10th to 90th $1,413 to $3,981Professionalmedian $1,122 · 10th to 90th $102 to $1,950
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 $1,348.96 Median $1,412.54 Typical High $1,819.70 | Facility | None | $1,348.96 | $1,412.54 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,445.44 Typical High $2,344.23 | Professional | None (both parts) | $1,288.25 | $1,445.44 | $2,344.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $194.98 | Professional | 26 · Professional part | $67.61 | $69.18 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,445.44 Typical High $2,089.30 | Professional | TC · Technical part | $1,202.26 | $1,445.44 | $2,089.30 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $102.33 | $102.33 | $102.33 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,445.44 Median $2,187.76 Typical High $3,715.35 | Facility | None | $1,445.44 | $2,187.76 | $3,715.35 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $97.72 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $97.72 | $102.33 | $102.33 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $870.96 Typical High $1,995.26 | Professional | None (both parts) | $309.03 | $870.96 | $1,995.26 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,318.26 Median $2,137.96 Typical High $4,466.84 | Facility | None | $1,318.26 | $2,137.96 | $4,466.84 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $1,148.15 Median $1,819.70 Typical High $4,365.16 | Facility | TC · Technical part | $1,148.15 | $1,819.70 | $4,365.16 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $478.63 Median $676.08 Typical High $1,949.84 | Professional | None (both parts) | $478.63 | $676.08 | $1,949.84 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $95.50 | Professional | 26 · Professional part | $57.54 | $69.18 | $95.50 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $602.56 Typical High $1,819.70 | Professional | TC · Technical part | $426.58 | $602.56 | $1,819.70 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $1,047.13 Typical High $1,995.26 | Professional | None (both parts) | $338.84 | $1,047.13 | $1,995.26 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $3,981.07 | Facility | None | $1,479.11 | $1,905.46 | $3,981.07 |
United Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,445.44 Typical High $2,137.96 | Professional | None (both parts) | $1,148.15 | $1,445.44 | $2,137.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $117.49 | Professional | 26 · Professional part | $64.57 | $75.86 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,380.38 Typical High $1,995.26 | Professional | TC · Technical part | $1,096.48 | $1,380.38 | $1,995.26 |
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 $645.65 Median $724.44 Typical High $933.25 | Professional | 52 · Reduced service | $645.65 | $724.44 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $288.40 Typical High $371.54 | Professional | 53 · Discontinued | $257.04 | $288.40 | $371.54 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $691.83 | $707.95 | $707.95 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $275.42 | $281.84 | $281.84 |
Where Michigan sits
The same service costs 3.6 times more in Nebraska than in Montana. 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· 41st of 51
$1,288
NE $3,162MT $871
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.