How much rates vary
Facilitymedian $661 · 10th to 90th $437 to $1,072Professionalmedian $347 · 10th to 90th $170 to $490
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 $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $281.84 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $34.67 | Professional | 26 · Professional part | $28.18 | $33.88 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $316.23 Typical High $316.23 | Professional | TC · Technical part | $257.04 | $316.23 | $316.23 |
BCBS Michigan Setting Facility Modifier None Typical Low $436.52 Median $660.69 Typical High $1,122.02 | Facility | None | $436.52 | $660.69 | $1,122.02 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $43.65 Median $436.52 Typical High $489.78 | Professional | None (both parts) | $43.65 | $436.52 | $489.78 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $46.77 | $46.77 | $46.77 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $346.74 Typical High $741.31 | Professional | None (both parts) | $213.80 | $346.74 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $40.74 Typical High $60.26 | Professional | 26 · Professional part | $20.89 | $40.74 | $60.26 |
Health Alliance Plan Setting Facility Modifier None Typical Low $354.81 Median $707.95 Typical High $776.25 | Facility | None | $354.81 | $707.95 | $776.25 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $263.03 Median $338.84 Typical High $426.58 | Professional | None (both parts) | $263.03 | $338.84 | $426.58 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $38.02 | Professional | 26 · Professional part | $22.91 | $29.51 | $38.02 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $316.23 Typical High $389.05 | Professional | TC · Technical part | $239.88 | $316.23 | $389.05 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $346.74 Typical High $660.69 | Professional | None (both parts) | $213.80 | $346.74 | $660.69 |
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 $245.47 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $245.47 | $346.74 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $28.18 | $32.36 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $316.23 Typical High $426.58 | Professional | TC · Technical part | $223.87 | $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 $158.49 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $158.49 | $177.83 | $177.83 |
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 4.9 times more in Alaska 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· 32nd of 51
$355
AK $1,202IN $245
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.