How much rates vary
Facilitymedian $204 · 10th to 90th $135 to $398Professionalmedian $117 · 10th to 90th $83 to $155
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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $138.04 | Professional | None (both parts) | $97.72 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.50 Typical High $21.88 | Professional | 26 · Professional part | $16.22 | $19.50 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $107.15 | Professional | TC · Technical part | $81.28 | $93.33 | $107.15 |
BCBS Michigan Setting Facility Modifier None Typical Low $134.90 Median $204.17 Typical High $346.74 | Facility | None | $134.90 | $204.17 | $346.74 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $128.82 | $154.88 | $154.88 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $147.91 Typical High $239.88 | Professional | None (both parts) | $81.28 | $147.91 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $24.55 Typical High $38.02 | Professional | 26 · Professional part | $12.02 | $24.55 | $38.02 |
Health Alliance Plan Setting Facility Modifier None Typical Low $125.89 Median $223.87 Typical High $245.47 | Facility | None | $125.89 | $223.87 | $245.47 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $141.25 | Professional | None (both parts) | $83.18 | $107.15 | $141.25 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $18.20 Typical High $22.91 | Professional | 26 · Professional part | $13.80 | $18.20 | $22.91 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $91.20 Typical High $117.49 | Professional | TC · Technical part | $69.18 | $91.20 | $117.49 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $89.13 | $131.83 | $223.87 |
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 $91.20 Median $112.20 Typical High $147.91 | Professional | None (both parts) | $91.20 | $112.20 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.50 Typical High $26.30 | Professional | 26 · Professional part | $17.38 | $19.50 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $123.03 | Professional | TC · Technical part | $72.44 | $93.33 | $123.03 |
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 $48.98 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $48.98 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $19.50 | $22.39 | $22.39 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $53.70 | $63.10 | $63.10 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $21.38 | $25.12 | $25.12 |
Where Michigan sits
The same service costs 5.5 times more in Alabama 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· 33rd of 51
$126
AL $479FL $87.10
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.