How much rates vary
Facilitymedian $120 · 10th to 90th $66 to $398Professionalmedian $151 · 10th to 90th $100 to $195
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 $66.07 Median $66.07 Typical High $102.33 | Facility | None | $66.07 | $66.07 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $66.07 Typical High $138.04 | Facility | TC · Technical part | $63.10 | $66.07 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $112.20 Typical High $117.49 | Professional | None (both parts) | $100.00 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $40.74 Typical High $42.66 | Professional | 26 · Professional part | $38.02 | $40.74 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $75.86 | Professional | TC · Technical part | $63.10 | $72.44 | $75.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $40.74 | $40.74 | $40.74 |
BCBS Michigan Setting Facility Modifier None Typical Low $91.20 Median $131.83 Typical High $229.09 | Facility | None | $91.20 | $131.83 | $229.09 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $114.82 Median $177.83 Typical High $190.55 | Professional | None (both parts) | $114.82 | $177.83 | $190.55 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $123.03 | $123.03 | $123.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $39.81 Median $77.62 Typical High $141.25 | Professional | None (both parts) | $39.81 | $77.62 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $95.50 Typical High $194.98 | Professional | None (both parts) | $60.26 | $95.50 | $194.98 |
Health Alliance Plan Setting Facility Modifier None Typical Low $66.07 Median $158.49 Typical High $436.52 | Facility | None | $66.07 | $158.49 | $436.52 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $89.13 Typical High $251.19 | Facility | TC · Technical part | $66.07 | $89.13 | $251.19 |
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 $39.81 Median $54.95 Typical High $75.86 | Professional | 26 · Professional part | $39.81 | $54.95 | $75.86 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $91.20 Typical High $125.89 | Professional | TC · Technical part | $66.07 | $91.20 | $125.89 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $95.50 Typical High $208.93 | Professional | None (both parts) | $53.70 | $95.50 | $208.93 |
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 $77.62 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $77.62 | $144.54 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $54.95 Typical High $93.33 | Professional | 26 · Professional part | $28.18 | $54.95 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $89.13 Typical High $144.54 | Professional | TC · Technical part | $50.12 | $89.13 | $144.54 |
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 $33.11 Median $41.69 Typical High $69.18 | Facility | 52 · Reduced service | $33.11 | $41.69 | $69.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $16.60 Typical High $27.54 | Facility | 53 · Discontinued | $13.18 | $16.60 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $50.12 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $20.42 | $22.39 | $22.39 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $33.11 Median $39.81 Typical High $69.18 | Facility | 52 · Reduced service | $33.11 | $39.81 | $69.18 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $15.85 Typical High $27.54 | Facility | 53 · Discontinued | $13.18 | $15.85 | $27.54 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $52.48 | $70.79 | $70.79 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $21.38 | $28.18 | $28.18 |
Where Michigan sits
The same service costs 4.5 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
$148
AK $316AL $70.79
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.