How much rates vary
Facilitymedian $339 · 10th to 90th $200 to $1,047Professionalmedian $200 · 10th to 90th $138 to $282
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 $199.53 Median $204.17 Typical High $257.04 | Facility | None | $199.53 | $204.17 | $257.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $144.54 Typical High $407.38 | Facility | TC · Technical part | $134.90 | $144.54 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $338.84 | Professional | None (both parts) | $162.18 | $204.17 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $64.57 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $229.09 | Professional | TC · Technical part | $109.65 | $138.04 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $83.18 | Professional | 26 · Professional part | $54.95 | $54.95 | $83.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $194.98 Median $288.40 Typical High $501.19 | Facility | None | $194.98 | $288.40 | $501.19 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $83.18 Median $269.15 Typical High $281.84 | Professional | None (both parts) | $83.18 | $269.15 | $281.84 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $263.03 | Professional | TC · Technical part | $194.98 | $194.98 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $275.42 Typical High $389.05 | Professional | None (both parts) | $128.82 | $275.42 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $79.43 Typical High $120.23 | Professional | 26 · Professional part | $38.90 | $79.43 | $120.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $208.93 Median $524.81 Typical High $1,380.38 | Facility | None | $208.93 | $524.81 | $1,380.38 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $229.09 Typical High $407.38 | Facility | TC · Technical part | $131.83 | $229.09 | $407.38 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $138.04 Median $181.97 Typical High $229.09 | Professional | None (both parts) | $138.04 | $181.97 | $229.09 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $45.71 | $58.88 | $85.11 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $125.89 Typical High $169.82 | Professional | TC · Technical part | $91.20 | $125.89 | $169.82 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $162.18 | $251.19 | $389.05 |
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 $177.83 Median $199.53 Typical High $275.42 | Professional | None (both parts) | $177.83 | $199.53 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $64.57 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $131.83 Typical High $186.21 | Professional | TC · Technical part | $120.23 | $131.83 | $186.21 |
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 $77.62 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $77.62 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $31.62 | $40.74 | $40.74 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $81.28 | $97.72 | $97.72 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $33.11 | $39.81 | $39.81 |
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· 41st of 51
$204
AK $631FL $145
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.