How much rates vary
Facilitymedian $479 · 10th to 90th $324 to $794Professionalmedian $240 · 10th to 90th $182 to $339
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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $257.04 | Professional | None (both parts) | $194.98 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $25.12 | $31.62 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $208.93 Typical High $229.09 | Professional | TC · Technical part | $165.96 | $208.93 | $229.09 |
BCBS Michigan Setting Facility Modifier None Typical Low $323.59 Median $478.63 Typical High $812.83 | Facility | None | $323.59 | $478.63 | $812.83 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $302.00 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $302.00 | $338.84 | $338.84 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $323.59 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $223.87 Typical High $501.19 | Professional | None (both parts) | $144.54 | $223.87 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $36.31 Typical High $60.26 | Professional | 26 · Professional part | $17.38 | $36.31 | $60.26 |
Health Alliance Plan Setting Facility Modifier None Typical Low $229.09 Median $501.19 Typical High $537.03 | Facility | None | $229.09 | $501.19 | $537.03 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $181.97 Median $229.09 Typical High $281.84 | Professional | None (both parts) | $181.97 | $229.09 | $281.84 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $35.48 | Professional | 26 · Professional part | $22.39 | $29.51 | $35.48 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $199.53 Typical High $245.47 | Professional | TC · Technical part | $162.18 | $199.53 | $245.47 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $501.19 | Professional | None (both parts) | $186.21 | $223.87 | $501.19 |
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 $173.78 Median $223.87 Typical High $302.00 | Professional | None (both parts) | $173.78 | $223.87 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.20 Typical High $40.74 | Professional | 26 · Professional part | $26.92 | $30.20 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $194.98 Typical High $263.03 | Professional | TC · Technical part | $154.88 | $194.98 | $263.03 |
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 $97.72 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $97.72 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $38.90 | $47.86 | $47.86 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $100.00 | $114.82 | $114.82 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $39.81 | $45.71 | $45.71 |
Where Michigan sits
The same service costs 4.8 times more in Alaska than in Indiana. 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
$245
AK $851IN $178
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.