How much rates vary
Facilitymedian $331 · 10th to 90th $240 to $575Professionalmedian $123 · 10th to 90th $95 to $324
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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $100.00 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $75.86 | Professional | 26 · Professional part | $60.26 | $72.44 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $38.02 | $48.98 | $48.98 |
BCBS Michigan Setting Facility Modifier None Typical Low $239.88 Median $354.81 Typical High $616.60 | Facility | None | $239.88 | $354.81 | $616.60 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $91.20 Median $95.50 Typical High $102.33 | Professional | None (both parts) | $91.20 | $95.50 | $102.33 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $144.54 Typical High $302.00 | Professional | None (both parts) | $75.86 | $144.54 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $42.66 | $100.00 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $52.48 Typical High $134.90 | Professional | TC · Technical part | $33.88 | $52.48 | $134.90 |
Health Alliance Plan Setting Facility Modifier None Typical Low $123.03 Median $309.03 Typical High $331.13 | Facility | None | $123.03 | $309.03 | $331.13 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $331.13 | Professional | None (both parts) | $112.20 | $131.83 | $331.13 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $75.86 Typical High $104.71 | Professional | 26 · Professional part | $67.61 | $75.86 | $104.71 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $52.48 Typical High $213.80 | Professional | TC · Technical part | $45.71 | $52.48 | $213.80 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $234.42 Typical High $354.81 | Professional | None (both parts) | $107.15 | $234.42 | $354.81 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $120.23 Typical High $162.18 | Professional | 26 · Professional part | $52.48 | $120.23 | $162.18 |
United Setting Facility Modifier None Typical Low $239.88 Median $316.23 Typical High $660.69 | Facility | None | $239.88 | $316.23 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $257.04 Typical High $398.11 | Professional | None (both parts) | $114.82 | $257.04 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $67.61 | $87.10 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $173.78 Typical High $295.12 | Professional | TC · Technical part | $45.71 | $173.78 | $295.12 |
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 $46.77 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $46.77 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $18.62 | $24.55 | $24.55 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $47.86 | $61.66 | $61.66 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $19.05 | $24.55 | $24.55 |
Where Michigan sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 49th of 51
$123
NE $537NJ $115
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.