How much rates vary
Facilitymedian $589 · 10th to 90th $389 to $1,023Professionalmedian $324 · 10th to 90th $257 to $437
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 $309.03 Median $309.03 Typical High $398.11 | Facility | None | $309.03 | $309.03 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $257.04 | $316.23 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $35.48 | $43.65 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $275.42 Typical High $416.87 | Professional | TC · Technical part | $223.87 | $275.42 | $416.87 |
BCBS Michigan Setting Facility Modifier None Typical Low $389.05 Median $575.44 Typical High $1,000.00 | Facility | None | $389.05 | $575.44 | $1,000.00 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $398.11 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $398.11 | $416.87 | $416.87 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $426.58 Typical High $724.44 | Professional | None (both parts) | $208.93 | $426.58 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $56.23 Typical High $83.18 | Professional | 26 · Professional part | $26.30 | $56.23 | $83.18 |
Health Alliance Plan Setting Facility Modifier None Typical Low $323.59 Median $758.58 Typical High $1,819.70 | Facility | None | $323.59 | $758.58 | $1,819.70 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $616.60 Typical High $870.96 | Facility | TC · Technical part | $281.84 | $616.60 | $870.96 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $257.04 Median $323.59 Typical High $416.87 | Professional | None (both parts) | $257.04 | $323.59 | $416.87 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $32.36 | $42.66 | $53.70 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $363.08 | Professional | TC · Technical part | $229.09 | $281.84 | $363.08 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $398.11 Typical High $707.95 | Professional | None (both parts) | $295.12 | $398.11 | $707.95 |
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 $288.40 Median $323.59 Typical High $436.52 | Professional | None (both parts) | $288.40 | $323.59 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $38.90 | $44.67 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $281.84 Typical High $380.19 | Professional | TC · Technical part | $251.19 | $281.84 | $380.19 |
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 $128.82 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $128.82 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $51.29 | $63.10 | $63.10 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $141.25 | $162.18 | $162.18 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $56.23 | $64.57 | $64.57 |
Where Michigan sits
The same service costs 3.7 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· 36th of 51
$339
AK $955FL $257
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.