How much rates vary
Facilitymedian $288 · 10th to 90th $162 to $603Professionalmedian $309 · 10th to 90th $214 to $457
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 $245.47 Median $281.84 Typical High $331.13 | Facility | None | $245.47 | $281.84 | $331.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $72.44 Median $77.62 Typical High $95.50 | Facility | 26 · Professional part | $72.44 | $77.62 | $95.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $199.53 Typical High $338.84 | Facility | TC · Technical part | $177.83 | $199.53 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $281.84 Typical High $354.81 | Professional | None (both parts) | $245.47 | $281.84 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $77.62 Typical High $97.72 | Professional | 26 · Professional part | $72.44 | $77.62 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $199.53 Typical High $239.88 | Professional | TC · Technical part | $177.83 | $199.53 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $75.86 Typical High $102.33 | Professional | 26 · Professional part | $74.13 | $75.86 | $102.33 |
BCBS Michigan Setting Facility Modifier None Typical Low $251.19 Median $363.08 Typical High $616.60 | Facility | None | $251.19 | $363.08 | $616.60 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $309.03 Median $426.58 Typical High $457.09 | Professional | None (both parts) | $309.03 | $426.58 | $457.09 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | TC · Technical part | $331.13 | $331.13 | $331.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $74.13 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $74.13 | $218.78 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $478.63 | Professional | None (both parts) | $123.03 | $173.78 | $478.63 |
Health Alliance Plan Setting Facility Modifier None Typical Low $158.49 Median $281.84 Typical High $602.56 | Facility | None | $158.49 | $281.84 | $602.56 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $72.44 Median $81.28 Typical High $223.87 | Facility | 26 · Professional part | $72.44 | $81.28 | $223.87 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $199.53 Typical High $446.68 | Facility | TC · Technical part | $83.18 | $199.53 | $446.68 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $229.09 Median $295.12 Typical High $363.08 | Professional | None (both parts) | $229.09 | $295.12 | $363.08 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $128.82 | Professional | 26 · Professional part | $74.13 | $89.13 | $128.82 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $194.98 Typical High $257.04 | Professional | TC · Technical part | $151.36 | $194.98 | $257.04 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $380.19 | Professional | None (both parts) | $123.03 | $144.54 | $380.19 |
United Setting Facility Modifier None Typical Low $371.54 Median $478.63 Typical High $1,000.00 | Facility | None | $371.54 | $478.63 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $218.78 Typical High $416.87 | Professional | None (both parts) | $131.83 | $218.78 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $50.12 | $79.43 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $141.25 Typical High $275.42 | Professional | TC · Technical part | $81.28 | $141.25 | $275.42 |
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 $91.20 Median $114.82 Typical High $190.55 | Facility | 52 · Reduced service | $91.20 | $114.82 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $36.31 Median $45.71 Typical High $75.86 | Facility | 53 · Discontinued | $36.31 | $45.71 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $123.03 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $50.12 | $56.23 | $56.23 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $91.20 Median $109.65 Typical High $190.55 | Facility | 52 · Reduced service | $91.20 | $109.65 | $190.55 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $36.31 Median $44.67 Typical High $75.86 | Facility | 53 · Discontinued | $36.31 | $44.67 | $75.86 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $128.82 | $173.78 | $173.78 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $51.29 | $69.18 | $69.18 |
Where Michigan sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 21st of 51
$309
AK $575AL $138
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.