How much rates vary
Facilitymedian $550 · 10th to 90th $363 to $1,072Professionalmedian $302 · 10th to 90th $186 to $417
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 $269.15 Median $275.42 Typical High $275.42 | Facility | None | $269.15 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $288.40 | Professional | None (both parts) | $229.09 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.18 Typical High $28.84 | Professional | 26 · Professional part | $23.44 | $28.18 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $251.19 Typical High $263.03 | Professional | TC · Technical part | $204.17 | $251.19 | $263.03 |
BCBS Michigan Setting Facility Modifier None Typical Low $363.08 Median $549.54 Typical High $933.25 | Facility | None | $363.08 | $549.54 | $933.25 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $36.31 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $36.31 | $380.19 | $380.19 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $346.74 Typical High $758.58 | Professional | None (both parts) | $190.55 | $346.74 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $38.02 Typical High $58.88 | Professional | 26 · Professional part | $16.60 | $38.02 | $58.88 |
Health Alliance Plan Setting Facility Modifier None Typical Low $281.84 Median $707.95 Typical High $776.25 | Facility | None | $281.84 | $707.95 | $776.25 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $263.03 Median $288.40 Typical High $416.87 | Professional | None (both parts) | $263.03 | $288.40 | $416.87 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $38.02 | Professional | 26 · Professional part | $23.44 | $28.84 | $38.02 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $257.04 Typical High $380.19 | Professional | TC · Technical part | $239.88 | $257.04 | $380.19 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $346.74 Typical High $724.44 | Professional | None (both parts) | $245.47 | $346.74 | $724.44 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $3,630.78 | Facility | None | $1,318.26 | $1,737.80 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $309.03 Typical High $426.58 | Professional | None (both parts) | $263.03 | $309.03 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $41.69 | Professional | 26 · Professional part | $26.30 | $31.62 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $281.84 Typical High $389.05 | Professional | TC · Technical part | $234.42 | $281.84 | $389.05 |
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 $114.82 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $114.82 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $45.71 | $56.23 | $56.23 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $125.89 | $141.25 | $141.25 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $51.29 | $56.23 | $56.23 |
Where Michigan sits
The same service costs 4.3 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· 36th of 51
$309
AK $1,000TX $234
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.