How much rates vary
Facilitymedian $646 · 10th to 90th $363 to $1,072Professionalmedian $355 · 10th to 90th $275 to $457
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 $338.84 Median $338.84 Typical High $436.52 | Facility | None | $338.84 | $338.84 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $346.74 Typical High $363.08 | Professional | None (both parts) | $281.84 | $346.74 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $38.90 | Professional | 26 · Professional part | $28.84 | $37.15 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $309.03 Typical High $323.59 | Professional | TC · Technical part | $251.19 | $309.03 | $323.59 |
BCBS Michigan Setting Facility Modifier None Typical Low $436.52 Median $645.65 Typical High $1,122.02 | Facility | None | $436.52 | $645.65 | $1,122.02 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $407.38 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $407.38 | $457.09 | $457.09 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $69.18 | Professional | 26 · Professional part | $51.29 | $51.29 | $69.18 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $588.84 | Professional | TC · Technical part | $436.52 | $436.52 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $380.19 Typical High $758.58 | Professional | None (both parts) | $223.87 | $380.19 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $22.91 | $45.71 | $69.18 |
Health Alliance Plan Setting Facility Modifier None Typical Low $295.12 Median $741.31 Typical High $794.33 | Facility | None | $295.12 | $741.31 | $794.33 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $645.65 Typical High $977.24 | Facility | TC · Technical part | $316.23 | $645.65 | $977.24 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $275.42 Median $346.74 Typical High $436.52 | Professional | None (both parts) | $275.42 | $346.74 | $436.52 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $25.70 | $33.88 | $42.66 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $316.23 Typical High $389.05 | Professional | TC · Technical part | $245.47 | $316.23 | $389.05 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $380.19 Typical High $676.08 | Professional | None (both parts) | $263.03 | $380.19 | $676.08 |
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 $288.40 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $288.40 | $346.74 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $31.62 | $36.31 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $316.23 Typical High $426.58 | Professional | TC · Technical part | $257.04 | $316.23 | $426.58 |
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 $141.25 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $141.25 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $56.23 | $69.18 | $69.18 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $154.88 | $173.78 | $173.78 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $63.10 | $70.79 | $70.79 |
Where Michigan sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 35th of 51
$363
AK $1,202KY $275
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.