How much rates vary
Facilitymedian $257 · 10th to 90th $151 to $617Professionalmedian $200 · 10th to 90th $71 to $288
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 $147.91 Median $165.96 Typical High $208.93 | Facility | None | $147.91 | $165.96 | $208.93 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $131.83 Typical High $239.88 | Facility | TC · Technical part | $114.82 | $131.83 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $165.96 Typical High $208.93 | Professional | None (both parts) | $144.54 | $165.96 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $46.77 | Professional | 26 · Professional part | $33.88 | $37.15 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $162.18 | Professional | TC · Technical part | $100.00 | $131.83 | $162.18 |
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 |
BCBS Michigan Setting Facility Modifier None Typical Low $169.82 Median $302.00 Typical High $707.95 | Facility | None | $169.82 | $302.00 | $707.95 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $56.23 Median $269.15 Typical High $288.40 | Professional | None (both parts) | $56.23 | $269.15 | $288.40 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $229.09 | $229.09 | $229.09 |
CareSource Setting Professional Modifier None (both parts) Typical Low $35.48 Median $141.25 Typical High $208.93 | Professional | None (both parts) | $35.48 | $141.25 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $87.10 Typical High $263.03 | Professional | None (both parts) | $54.95 | $87.10 | $263.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $114.82 Median $251.19 Typical High $331.13 | Facility | None | $114.82 | $251.19 | $331.13 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $281.84 | Facility | TC · Technical part | $114.82 | $151.36 | $281.84 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $107.15 | $147.91 | $199.53 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $30.20 | $38.90 | $48.98 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $102.33 Typical High $162.18 | Professional | TC · Technical part | $57.54 | $102.33 | $162.18 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $81.28 Typical High $239.88 | Professional | None (both parts) | $54.95 | $81.28 | $239.88 |
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 $74.13 Median $125.89 Typical High $269.15 | Professional | None (both parts) | $74.13 | $125.89 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $39.81 Typical High $66.07 | Professional | 26 · Professional part | $23.99 | $39.81 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $83.18 Typical High $204.17 | Professional | TC · Technical part | $48.98 | $83.18 | $204.17 |
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 $57.54 Median $70.79 Typical High $120.23 | Facility | 52 · Reduced service | $57.54 | $70.79 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $28.84 Typical High $47.86 | Facility | 53 · Discontinued | $22.91 | $28.84 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $74.13 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $29.51 | $33.11 | $33.11 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $57.54 Median $69.18 Typical High $120.23 | Facility | 52 · Reduced service | $57.54 | $69.18 | $120.23 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $27.54 Typical High $47.86 | Facility | 53 · Discontinued | $22.91 | $27.54 | $47.86 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $74.13 | $100.00 | $100.00 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $29.51 | $39.81 | $39.81 |
Where Michigan sits
The same service costs 7.1 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· 16th of 51
$209
AK $417AL $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.