How much rates vary
Facilitymedian $162 · 10th to 90th $107 to $263Professionalmedian $81 · 10th to 90th $62 to $120
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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $63.10 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.51 Typical High $8.71 | Professional | 26 · Professional part | $7.08 | $8.51 | $8.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $54.95 | $67.61 | $67.61 |
BCBS Michigan Setting Facility Modifier None Typical Low $107.15 Median $162.18 Typical High $275.42 | Facility | None | $107.15 | $162.18 | $275.42 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $120.23 | Professional | None (both parts) | $102.33 | $112.20 | $120.23 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 26 · Professional part | $12.59 | $12.59 | $12.59 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $104.71 Typical High $151.36 | Professional | None (both parts) | $52.48 | $104.71 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $10.47 Typical High $18.20 | Professional | 26 · Professional part | $5.01 | $10.47 | $18.20 |
Health Alliance Plan Setting Facility Modifier None Typical Low $75.86 Median $165.96 Typical High $177.83 | Facility | None | $75.86 | $165.96 | $177.83 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $61.66 Median $75.86 Typical High $95.50 | Professional | None (both parts) | $61.66 | $75.86 | $95.50 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.13 Typical High $10.00 | Professional | 26 · Professional part | $6.31 | $8.13 | $10.00 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $87.10 | Professional | TC · Technical part | $54.95 | $67.61 | $87.10 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $93.33 Typical High $151.36 | Professional | None (both parts) | $60.26 | $93.33 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $79.43 Typical High $104.71 | Professional | None (both parts) | $69.18 | $79.43 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.91 Typical High $12.02 | Professional | 26 · Professional part | $7.76 | $8.91 | $12.02 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $70.79 Typical High $95.50 | Professional | TC · Technical part | $61.66 | $70.79 | $95.50 |
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 $31.62 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $31.62 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $12.59 | $15.14 | $15.14 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $33.88 | $38.02 | $38.02 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $13.49 | $15.14 | $15.14 |
Where Michigan sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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
$87.10
AK $275KY $60.26
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.