How much rates vary
Facilitymedian $158 · 10th to 90th $55 to $295Professionalmedian $155 · 10th to 90th $51 to $224
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 $125.89 Median $144.54 Typical High $177.83 | Facility | None | $125.89 | $144.54 | $177.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $213.80 | Facility | TC · Technical part | $95.50 | $109.65 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $165.96 | Professional | None (both parts) | $117.49 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $41.69 | Professional | 26 · Professional part | $31.62 | $33.88 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $112.20 | Professional | TC · Technical part | $89.13 | $107.15 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
BCBS Michigan Setting Facility Modifier None Typical Low $128.82 Median $181.97 Typical High $316.23 | Facility | None | $128.82 | $181.97 | $316.23 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $51.29 Median $213.80 Typical High $223.87 | Professional | None (both parts) | $51.29 | $213.80 | $223.87 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $54.95 | $54.95 | $54.95 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $169.82 | $169.82 | $169.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.11 Median $114.82 Typical High $173.78 | Professional | None (both parts) | $33.11 | $114.82 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $75.86 Typical High $213.80 | Professional | None (both parts) | $50.12 | $75.86 | $213.80 |
Health Alliance Plan Setting Facility Modifier None Typical Low $21.88 Median $138.04 Typical High $288.40 | Facility | None | $21.88 | $138.04 | $288.40 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $123.03 Typical High $186.21 | Facility | TC · Technical part | $97.72 | $123.03 | $186.21 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $100.00 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $100.00 | $134.90 | $181.97 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $32.36 | $43.65 | $56.23 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $138.04 | Professional | TC · Technical part | $60.26 | $85.11 | $138.04 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $63.10 Typical High $199.53 | Professional | None (both parts) | $50.12 | $63.10 | $199.53 |
United Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $478.63 | Facility | None | $173.78 | $229.09 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $61.66 | $95.50 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $22.39 | $38.02 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $60.26 Typical High $117.49 | Professional | TC · Technical part | $35.48 | $60.26 | $117.49 |
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 $51.29 Median $63.10 Typical High $107.15 | Facility | 52 · Reduced service | $51.29 | $63.10 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.42 Median $25.12 Typical High $42.66 | Facility | 53 · Discontinued | $20.42 | $25.12 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $63.10 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $25.12 | $28.18 | $28.18 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $51.29 Median $61.66 Typical High $107.15 | Facility | 52 · Reduced service | $51.29 | $61.66 | $107.15 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $20.42 Median $24.55 Typical High $42.66 | Facility | 53 · Discontinued | $20.42 | $24.55 | $42.66 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $67.61 | $91.20 | $91.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $26.92 | $36.31 | $36.31 |
Where Michigan sits
The same service costs 5.2 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
$158
AK $309AL $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.