How much rates vary
Facilitymedian $83 · 10th to 90th $62 to $204Professionalmedian $102 · 10th to 90th $66 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 $61.66 Median $61.66 Typical High $77.62 | Facility | None | $61.66 | $61.66 | $77.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $128.82 | Facility | TC · Technical part | $57.54 | $61.66 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $83.18 Typical High $87.10 | Professional | None (both parts) | $74.13 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.05 Typical High $19.95 | Professional | 26 · Professional part | $17.78 | $19.05 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $67.61 | Professional | TC · Technical part | $56.23 | $64.57 | $67.61 |
BCBS Michigan Setting Facility Modifier None Typical Low $77.62 Median $112.20 Typical High $194.98 | Facility | None | $77.62 | $112.20 | $194.98 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $134.90 | Professional | None (both parts) | $97.72 | $125.89 | $134.90 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $45.71 Typical High $125.89 | Professional | None (both parts) | $36.31 | $45.71 | $125.89 |
Health Alliance Plan Setting Facility Modifier None Typical Low $54.95 Median $61.66 Typical High $223.87 | Facility | None | $54.95 | $61.66 | $223.87 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $151.36 | Facility | TC · Technical part | $61.66 | $83.18 | $151.36 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $77.62 Median $95.50 Typical High $117.49 | Professional | None (both parts) | $77.62 | $95.50 | $117.49 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.12 Typical High $30.20 | Professional | 26 · Professional part | $19.05 | $25.12 | $30.20 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $69.18 Typical High $87.10 | Professional | TC · Technical part | $56.23 | $69.18 | $87.10 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $44.67 Typical High $120.23 | Professional | None (both parts) | $36.31 | $44.67 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $83.18 Typical High $128.82 | Professional | None (both parts) | $54.95 | $83.18 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $22.39 Typical High $38.02 | Professional | 26 · Professional part | $13.80 | $22.39 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $58.88 Typical High $104.71 | Professional | TC · Technical part | $40.74 | $58.88 | $104.71 |
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 $37.15 Typical High $64.57 | Facility | 52 · Reduced service | $30.90 | $37.15 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $14.79 Typical High $25.70 | Facility | 53 · Discontinued | $12.30 | $14.79 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $37.15 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $14.79 | $16.60 | $16.60 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $30.90 Median $37.15 Typical High $64.57 | Facility | 52 · Reduced service | $30.90 | $37.15 | $64.57 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $14.79 Typical High $25.70 | Facility | 53 · Discontinued | $12.30 | $14.79 | $25.70 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $40.74 | $53.70 | $53.70 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $16.22 | $21.38 | $21.38 |
Where Michigan sits
The same service costs 4.0 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· 24th of 51
$102
AK $234AL $58.88
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.