How much rates vary
Facilitymedian $200 · 10th to 90th $132 to $417Professionalmedian $200 · 10th to 90th $98 to $282
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 $151.36 Median $173.78 Typical High $213.80 | Facility | None | $151.36 | $173.78 | $213.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $131.83 Typical High $251.19 | Facility | TC · Technical part | $114.82 | $131.83 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $213.80 | Professional | None (both parts) | $144.54 | $169.82 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $38.02 | $40.74 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $162.18 | Professional | TC · Technical part | $102.33 | $128.82 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
BCBS Michigan Setting Facility Modifier None Typical Low $158.49 Median $229.09 Typical High $398.11 | Facility | None | $158.49 | $229.09 | $398.11 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $63.10 Median $263.03 Typical High $281.84 | Professional | None (both parts) | $63.10 | $263.03 | $281.84 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $50.12 | $66.07 | $66.07 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $158.49 | $213.80 | $213.80 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.90 Median $141.25 Typical High $208.93 | Professional | None (both parts) | $38.90 | $141.25 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $91.20 Typical High $257.04 | Professional | None (both parts) | $74.13 | $91.20 | $257.04 |
Health Alliance Plan Setting Facility Modifier None Typical Low $120.23 Median $173.78 Typical High $436.52 | Facility | None | $120.23 | $173.78 | $436.52 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $295.12 | Facility | TC · Technical part | $109.65 | $134.90 | $295.12 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $162.18 Median $186.21 Typical High $245.47 | Professional | None (both parts) | $162.18 | $186.21 | $245.47 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $77.62 | Professional | 26 · Professional part | $39.81 | $54.95 | $77.62 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $162.18 | Professional | TC · Technical part | $104.71 | $134.90 | $162.18 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $89.13 Typical High $234.42 | Professional | None (both parts) | $74.13 | $89.13 | $234.42 |
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 $97.72 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $97.72 | $154.88 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $51.29 Typical High $74.13 | Professional | 26 · Professional part | $27.54 | $51.29 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $104.71 Typical High $204.17 | Professional | TC · Technical part | $60.26 | $104.71 | $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 $60.26 Median $75.86 Typical High $125.89 | Facility | 52 · Reduced service | $60.26 | $75.86 | $125.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $30.20 Typical High $50.12 | Facility | 53 · Discontinued | $23.99 | $30.20 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $81.28 Typical High $85.11 | Professional | 52 · Reduced service | $66.07 | $81.28 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $32.36 Typical High $33.88 | Professional | 53 · Discontinued | $26.30 | $32.36 | $33.88 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $60.26 Median $72.44 Typical High $125.89 | Facility | 52 · Reduced service | $60.26 | $72.44 | $125.89 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $28.84 Typical High $50.12 | Facility | 53 · Discontinued | $23.99 | $28.84 | $50.12 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $102.33 Typical High $107.15 | Professional | 52 · Reduced service | $69.18 | $102.33 | $107.15 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $40.74 Typical High $42.66 | Professional | 53 · Discontinued | $27.54 | $40.74 | $42.66 |
Where Michigan sits
The same service costs 4.9 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
$200
AK $468AL $95.50
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.