How much rates vary
Facilitymedian $120 · 10th to 90th $79 to $245Professionalmedian $132 · 10th to 90th $85 to $182
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 $95.50 Median $109.65 Typical High $131.83 | Facility | None | $95.50 | $109.65 | $131.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $83.18 Typical High $138.04 | Facility | TC · Technical part | $72.44 | $83.18 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $109.65 Typical High $138.04 | Professional | None (both parts) | $95.50 | $109.65 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.12 Typical High $36.31 | Professional | 26 · Professional part | $23.44 | $25.12 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $83.18 Typical High $104.71 | Professional | TC · Technical part | $72.44 | $83.18 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $53.70 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $53.70 | $107.15 | $107.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $30.90 | Professional | 26 · Professional part | $25.12 | $25.12 | $30.90 |
BCBS Michigan Setting Facility Modifier None Typical Low $104.71 Median $147.91 Typical High $263.03 | Facility | None | $104.71 | $147.91 | $263.03 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $181.97 | Professional | None (both parts) | $131.83 | $169.82 | $181.97 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $141.25 | $141.25 | $141.25 |
CareSource Setting Professional Modifier None (both parts) Typical Low $24.55 Median $91.20 Typical High $134.90 | Professional | None (both parts) | $24.55 | $91.20 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $56.23 Typical High $173.78 | Professional | None (both parts) | $44.67 | $56.23 | $173.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $75.86 Median $114.82 Typical High $239.88 | Facility | None | $75.86 | $114.82 | $239.88 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $74.13 | Facility | 26 · Professional part | $23.99 | $26.30 | $74.13 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $177.83 | Facility | TC · Technical part | $72.44 | $95.50 | $177.83 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $154.88 | Professional | None (both parts) | $91.20 | $114.82 | $154.88 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $41.69 | Professional | 26 · Professional part | $23.99 | $29.51 | $41.69 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $104.71 | Professional | TC · Technical part | $66.07 | $85.11 | $104.71 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $54.95 Typical High $151.36 | Professional | None (both parts) | $44.67 | $54.95 | $151.36 |
United Setting Facility Modifier None Typical Low $53.70 Median $69.18 Typical High $144.54 | Facility | None | $53.70 | $69.18 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $95.50 Typical High $154.88 | Professional | None (both parts) | $61.66 | $95.50 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $25.70 Typical High $45.71 | Professional | 26 · Professional part | $16.60 | $25.70 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $69.18 Typical High $112.20 | Professional | TC · Technical part | $44.67 | $69.18 | $112.20 |
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 $38.02 Median $47.86 Typical High $79.43 | Facility | 52 · Reduced service | $38.02 | $47.86 | $79.43 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $19.05 Typical High $31.62 | Facility | 53 · Discontinued | $15.14 | $19.05 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $47.86 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $19.50 | $21.88 | $21.88 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $38.02 Median $45.71 Typical High $79.43 | Facility | 52 · Reduced service | $38.02 | $45.71 | $79.43 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $18.20 Typical High $31.62 | Facility | 53 · Discontinued | $15.14 | $18.20 | $31.62 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $50.12 | $66.07 | $66.07 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $19.95 | $26.92 | $26.92 |
Where Michigan sits
The same service costs 5.5 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· 17th of 51
$132
AK $269AL $48.98
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.