How much rates vary
Facilitymedian $48 · 10th to 90th $30 to $89Professionalmedian $56 · 10th to 90th $39 to $89
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 $47.86 Median $53.70 Typical High $67.61 | Facility | None | $47.86 | $53.70 | $67.61 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $24.55 Typical High $45.71 | Facility | TC · Technical part | $21.88 | $24.55 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $53.70 Typical High $61.66 | Professional | None (both parts) | $47.86 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $36.31 | Professional | 26 · Professional part | $26.92 | $29.51 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $24.55 Typical High $25.70 | Professional | TC · Technical part | $21.38 | $24.55 | $25.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $38.90 | Professional | 26 · Professional part | $28.84 | $28.84 | $38.90 |
BCBS Michigan Setting Facility Modifier None Typical Low $30.20 Median $42.66 Typical High $75.86 | Facility | None | $30.20 | $42.66 | $75.86 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $44.67 Median $83.18 Typical High $89.13 | Professional | None (both parts) | $44.67 | $83.18 | $89.13 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $27.54 Typical High $104.71 | Professional | None (both parts) | $20.89 | $27.54 | $104.71 |
Health Alliance Plan Setting Facility Modifier None Typical Low $33.88 Median $54.95 Typical High $114.82 | Facility | None | $33.88 | $54.95 | $114.82 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $25.12 Typical High $36.31 | Facility | TC · Technical part | $21.88 | $25.12 | $36.31 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $39.81 Median $52.48 Typical High $66.07 | Professional | None (both parts) | $39.81 | $52.48 | $66.07 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $41.69 | Professional | 26 · Professional part | $27.54 | $33.11 | $41.69 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $17.38 Typical High $28.84 | Professional | TC · Technical part | $11.48 | $17.38 | $28.84 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $20.89 Median $26.30 Typical High $74.13 | Professional | None (both parts) | $20.89 | $26.30 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $42.66 Typical High $83.18 | Professional | None (both parts) | $25.70 | $42.66 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $29.51 Typical High $52.48 | Professional | 26 · Professional part | $18.62 | $29.51 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $13.80 Typical High $31.62 | Professional | TC · Technical part | $6.92 | $13.80 | $31.62 |
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 $10.96 Median $13.49 Typical High $23.99 | Facility | 52 · Reduced service | $10.96 | $13.49 | $23.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.37 Median $5.50 Typical High $9.55 | Facility | 53 · Discontinued | $4.37 | $5.50 | $9.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $23.99 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $9.55 | $10.72 | $10.72 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $10.96 Median $13.18 Typical High $24.55 | Facility | 52 · Reduced service | $10.96 | $13.18 | $24.55 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $4.37 Median $5.25 Typical High $10.00 | Facility | 53 · Discontinued | $4.37 | $5.25 | $10.00 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $24.55 | $33.11 | $33.11 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $10.00 | $13.18 | $13.18 |
Where Michigan sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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· 25th of 51
$54.95
AK $141LA $30.20
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.