How much rates vary
Facilitymedian $100 · 10th to 90th $60 to $186Professionalmedian $89 · 10th to 90th $35 to $135
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 $70.79 Median $79.43 Typical High $95.50 | Facility | None | $70.79 | $79.43 | $95.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $67.61 Typical High $128.82 | Facility | TC · Technical part | $60.26 | $67.61 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $79.43 Typical High $100.00 | Professional | None (both parts) | $70.79 | $79.43 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $11.75 Typical High $14.79 | Professional | 26 · Professional part | $10.72 | $11.75 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $67.61 Typical High $85.11 | Professional | TC · Technical part | $60.26 | $67.61 | $85.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.48 Typical High $11.48 | Professional | 26 · Professional part | $10.23 | $11.48 | $11.48 |
BCBS Michigan Setting Facility Modifier None Typical Low $87.10 Median $128.82 Typical High $218.78 | Facility | None | $87.10 | $128.82 | $218.78 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $17.38 Median $125.89 Typical High $134.90 | Professional | None (both parts) | $17.38 | $125.89 | $134.90 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $18.62 | $18.62 | $18.62 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $114.82 | $114.82 | $114.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.96 Median $72.44 Typical High $100.00 | Professional | None (both parts) | $10.96 | $72.44 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $41.69 Typical High $120.23 | Professional | None (both parts) | $30.90 | $41.69 | $120.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $42.66 Median $95.50 Typical High $173.78 | Facility | None | $42.66 | $95.50 | $173.78 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $33.11 | Facility | 26 · Professional part | $10.96 | $12.88 | $33.11 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $151.36 | Facility | TC · Technical part | $57.54 | $72.44 | $151.36 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $63.10 Median $83.18 Typical High $102.33 | Professional | None (both parts) | $63.10 | $83.18 | $102.33 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.18 Typical High $18.20 | Professional | 26 · Professional part | $10.96 | $13.18 | $18.20 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $69.18 Typical High $85.11 | Professional | TC · Technical part | $52.48 | $69.18 | $85.11 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.90 Typical High $112.20 | Professional | None (both parts) | $30.90 | $38.90 | $112.20 |
United Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $371.54 | Facility | None | $138.04 | $177.83 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $69.18 Typical High $109.65 | Professional | None (both parts) | $44.67 | $69.18 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.48 Typical High $20.42 | Professional | 26 · Professional part | $7.41 | $11.48 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $57.54 Typical High $91.20 | Professional | TC · Technical part | $37.15 | $57.54 | $91.20 |
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 $30.90 Median $35.48 Typical High $64.57 | Facility | 52 · Reduced service | $30.90 | $35.48 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $14.13 Typical High $25.70 | Facility | 53 · Discontinued | $12.30 | $14.13 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $35.48 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $14.13 | $15.85 | $15.85 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $30.90 Median $36.31 Typical High $64.57 | Facility | 52 · Reduced service | $30.90 | $36.31 | $64.57 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $14.45 Typical High $25.70 | Facility | 53 · Discontinued | $12.30 | $14.45 | $25.70 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $36.31 | $47.86 | $47.86 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $14.45 | $19.50 | $19.50 |
Where Michigan sits
The same service costs 6.0 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· 18th of 51
$93.33
AK $209AL $34.67
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.