How much rates vary
Facilitymedian $398 · 10th to 90th $257 to $661Professionalmedian $224 · 10th to 90th $170 to $316
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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $181.97 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $40.74 | Professional | 26 · Professional part | $32.36 | $39.81 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $147.91 | $186.21 | $186.21 |
BCBS Michigan Setting Facility Modifier None Typical Low $257.04 Median $389.05 Typical High $660.69 | Facility | None | $257.04 | $389.05 | $660.69 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $50.12 Median $295.12 Typical High $316.23 | Professional | None (both parts) | $50.12 | $295.12 | $316.23 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $257.04 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $263.03 Typical High $467.74 | Professional | None (both parts) | $144.54 | $263.03 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $24.55 | $48.98 | $74.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $223.87 Median $457.09 Typical High $501.19 | Facility | None | $223.87 | $457.09 | $501.19 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $169.82 Median $218.78 Typical High $269.15 | Professional | None (both parts) | $169.82 | $218.78 | $269.15 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $45.71 | Professional | 26 · Professional part | $27.54 | $36.31 | $45.71 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $186.21 Typical High $223.87 | Professional | TC · Technical part | $141.25 | $186.21 | $223.87 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $186.21 | $257.04 | $426.58 |
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 $181.97 Median $218.78 Typical High $295.12 | Professional | None (both parts) | $181.97 | $218.78 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $50.12 | Professional | 26 · Professional part | $33.11 | $37.15 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $181.97 Typical High $245.47 | Professional | TC · Technical part | $151.36 | $181.97 | $245.47 |
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 $91.20 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $91.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $36.31 | $44.67 | $44.67 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $93.33 | $112.20 | $112.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $37.15 | $44.67 | $44.67 |
Where Michigan sits
The same service costs 4.6 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
$224
AK $794FL $174
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.