How much rates vary
Facilitymedian $355 · 10th to 90th $234 to $646Professionalmedian $186 · 10th to 90th $141 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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $181.97 Typical High $199.53 | Professional | None (both parts) | $147.91 | $181.97 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.22 Typical High $16.60 | Professional | 26 · Professional part | $13.18 | $16.22 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $165.96 Typical High $186.21 | Professional | TC · Technical part | $134.90 | $165.96 | $186.21 |
BCBS Michigan Setting Facility Modifier None Typical Low $234.42 Median $354.81 Typical High $602.56 | Facility | None | $234.42 | $354.81 | $602.56 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $208.93 Median $239.88 Typical High $257.04 | Professional | None (both parts) | $208.93 | $239.88 | $257.04 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $22.39 | $22.39 | $22.39 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $234.42 | $234.42 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $181.97 Typical High $389.05 | Professional | None (both parts) | $117.49 | $181.97 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $20.42 Typical High $30.90 | Professional | 26 · Professional part | $9.55 | $20.42 | $30.90 |
Health Alliance Plan Setting Facility Modifier None Typical Low $186.21 Median $380.19 Typical High $416.87 | Facility | None | $186.21 | $380.19 | $416.87 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $141.25 Median $181.97 Typical High $223.87 | Professional | None (both parts) | $141.25 | $181.97 | $223.87 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.14 Typical High $19.05 | Professional | 26 · Professional part | $11.48 | $15.14 | $19.05 |
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 $117.49 Median $190.55 Typical High $354.81 | Professional | None (both parts) | $117.49 | $190.55 | $354.81 |
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 $151.36 Median $177.83 Typical High $239.88 | Professional | None (both parts) | $151.36 | $177.83 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.85 Typical High $21.88 | Professional | 26 · Professional part | $14.13 | $15.85 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $165.96 Typical High $223.87 | Professional | TC · Technical part | $141.25 | $165.96 | $223.87 |
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 $74.13 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $74.13 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $29.51 | $36.31 | $36.31 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $83.18 | $91.20 | $91.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $33.88 | $37.15 | $37.15 |
Where Michigan sits
The same service costs 4.3 times more in Alabama than in Indiana. 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· 31st of 51
$200
AL $562IN $132
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.