How much rates vary
Facilitymedian $54 · 10th to 90th $30 to $151Professionalmedian $44 · 10th to 90th $17 to $60
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 $28.84 Median $33.11 Typical High $41.69 | Facility | None | $28.84 | $33.11 | $41.69 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $26.30 Typical High $47.86 | Facility | TC · Technical part | $22.91 | $26.30 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.11 Typical High $54.95 | Professional | None (both parts) | $28.84 | $33.11 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $6.76 Typical High $8.51 | Professional | 26 · Professional part | $6.03 | $6.76 | $8.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.30 Typical High $38.90 | Professional | TC · Technical part | $22.91 | $26.30 | $38.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $6.92 Typical High $9.33 | Professional | 26 · Professional part | $6.92 | $6.92 | $9.33 |
BCBS Michigan Setting Facility Modifier None Typical Low $31.62 Median $46.77 Typical High $79.43 | Facility | None | $31.62 | $46.77 | $79.43 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $10.23 Median $50.12 Typical High $53.70 | Professional | None (both parts) | $10.23 | $50.12 | $53.70 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 26 · Professional part | $10.96 | $10.96 | $10.96 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $42.66 | $42.66 | $42.66 |
CareSource Setting Professional Modifier None (both parts) Typical Low $6.31 Median $28.18 Typical High $40.74 | Professional | None (both parts) | $6.31 | $28.18 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.13 Median $18.20 Typical High $77.62 | Professional | None (both parts) | $14.13 | $18.20 | $77.62 |
Health Alliance Plan Setting Facility Modifier None Typical Low $29.51 Median $64.57 Typical High $181.97 | Facility | None | $29.51 | $64.57 | $181.97 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $6.17 Median $6.92 Typical High $19.05 | Facility | 26 · Professional part | $6.17 | $6.92 | $19.05 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $30.20 Typical High $117.49 | Facility | TC · Technical part | $22.91 | $30.20 | $117.49 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $29.51 Median $48.98 Typical High $70.79 | Professional | None (both parts) | $29.51 | $48.98 | $70.79 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.59 Typical High $10.72 | Professional | 26 · Professional part | $6.31 | $7.59 | $10.72 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $38.02 Typical High $63.10 | Professional | TC · Technical part | $22.91 | $38.02 | $63.10 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $14.13 Median $18.20 Typical High $56.23 | Professional | None (both parts) | $14.13 | $18.20 | $56.23 |
United Setting Facility Modifier None Typical Low $38.02 Median $50.12 Typical High $104.71 | Facility | None | $38.02 | $50.12 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $19.05 Median $32.36 Typical High $57.54 | Professional | None (both parts) | $19.05 | $32.36 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $4.27 Median $6.61 Typical High $12.02 | Professional | 26 · Professional part | $4.27 | $6.61 | $12.02 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $26.30 Typical High $47.86 | Professional | TC · Technical part | $14.45 | $26.30 | $47.86 |
8 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 Facility Modifier 52 · Reduced service Typical Low $11.48 Median $14.45 Typical High $23.99 | Facility | 52 · Reduced service | $11.48 | $14.45 | $23.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $5.75 Typical High $9.55 | Facility | 53 · Discontinued | $4.57 | $5.75 | $9.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $14.45 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $5.75 | $6.61 | $6.61 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $11.48 Median $13.80 Typical High $23.99 | Facility | 52 · Reduced service | $11.48 | $13.80 | $23.99 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $5.50 Typical High $9.55 | Facility | 53 · Discontinued | $4.57 | $5.50 | $9.55 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $14.45 | $19.50 | $19.50 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $5.89 | $7.76 | $7.76 |
Where Michigan sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 19th of 51
$47.86
AK $123AR $28.18
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.