How much rates vary
Facilitymedian $1,202 · 10th to 90th $851 to $2,042Professionalmedian $646 · 10th to 90th $457 to $871
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 $630.96 Median $645.65 Typical High $645.65 | Facility | None | $630.96 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $645.65 Typical High $1,071.52 | Professional | None (both parts) | $537.03 | $645.65 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $43.65 | $53.70 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $602.56 Typical High $912.01 | Professional | TC · Technical part | $489.78 | $602.56 | $912.01 |
BCBS Michigan Setting Facility Modifier None Typical Low $851.14 Median $1,258.93 Typical High $2,187.76 | Facility | None | $851.14 | $1,258.93 | $2,187.76 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $758.58 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $758.58 | $870.96 | $870.96 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $851.14 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $776.25 Typical High $1,258.93 | Professional | None (both parts) | $426.58 | $776.25 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $33.11 | $69.18 | $104.71 |
Health Alliance Plan Setting Facility Modifier None Typical Low $676.08 Median $1,230.27 Typical High $1,348.96 | Facility | None | $676.08 | $1,230.27 | $1,348.96 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $457.09 Median $602.56 Typical High $724.44 | Professional | None (both parts) | $457.09 | $602.56 | $724.44 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $66.07 | Professional | 26 · Professional part | $40.74 | $52.48 | $66.07 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $549.54 Typical High $660.69 | Professional | TC · Technical part | $416.87 | $549.54 | $660.69 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $691.83 Typical High $1,230.27 | Professional | None (both parts) | $501.19 | $691.83 | $1,230.27 |
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 $501.19 Median $616.60 Typical High $891.25 | Professional | None (both parts) | $501.19 | $616.60 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $74.13 | Professional | 26 · Professional part | $48.98 | $54.95 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $549.54 Typical High $812.83 | Professional | TC · Technical part | $446.68 | $549.54 | $812.83 |
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 $269.15 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $269.15 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $107.15 | $131.83 | $131.83 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $309.03 | $338.84 | $338.84 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $123.03 | $134.90 | $134.90 |
Where Michigan sits
The same service costs 4.4 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· 34th of 51
$676
AK $1,950KY $447
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.