How much rates vary
Facilitymedian $331 · 10th to 90th $219 to $575Professionalmedian $182 · 10th to 90th $141 to $234
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 $173.78 Median $177.83 Typical High $177.83 | Facility | None | $173.78 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $144.54 | $181.97 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $24.55 Typical High $31.62 | Professional | 26 · Professional part | $19.95 | $24.55 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $154.88 Typical High $208.93 | Professional | TC · Technical part | $125.89 | $154.88 | $208.93 |
BCBS Michigan Setting Facility Modifier None Typical Low $218.78 Median $331.13 Typical High $562.34 | Facility | None | $218.78 | $331.13 | $562.34 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $30.90 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $30.90 | $234.42 | $234.42 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | TC · Technical part | $218.78 | $218.78 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $114.82 | $234.42 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $29.51 Typical High $46.77 | Professional | 26 · Professional part | $14.79 | $29.51 | $46.77 |
Health Alliance Plan Setting Facility Modifier None Typical Low $181.97 Median $380.19 Typical High $831.76 | Facility | None | $181.97 | $380.19 | $831.76 |
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 $17.78 Median $22.91 Typical High $28.18 | Professional | 26 · Professional part | $17.78 | $22.91 | $28.18 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $154.88 Typical High $194.98 | Professional | TC · Technical part | $123.03 | $154.88 | $194.98 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $213.80 Typical High $346.74 | Professional | None (both parts) | $158.49 | $213.80 | $346.74 |
United Setting Facility Modifier None Typical Low $407.38 Median $537.03 Typical High $1,122.02 | Facility | None | $407.38 | $537.03 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $239.88 | Professional | None (both parts) | $154.88 | $177.83 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.99 Typical High $31.62 | Professional | 26 · Professional part | $20.89 | $23.99 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $154.88 Typical High $208.93 | Professional | TC · Technical part | $134.90 | $154.88 | $208.93 |
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 $72.44 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $72.44 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $28.84 | $36.31 | $36.31 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $77.62 | $89.13 | $89.13 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $30.90 | $36.31 | $36.31 |
Where Michigan sits
The same service costs 4.4 times more in Alaska than in Florida. 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· 39th of 51
$186
AK $603FL $138
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.