How much rates vary
Facilitymedian $501 · 10th to 90th $251 to $912Professionalmedian $468 · 10th to 90th $195 to $631
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 $331.13 Median $338.84 Typical High $478.63 | Facility | None | $331.13 | $338.84 | $478.63 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $295.12 Typical High $602.56 | Facility | TC · Technical part | $281.84 | $295.12 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $380.19 Typical High $436.52 | Professional | None (both parts) | $288.40 | $380.19 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $74.13 | Professional | 26 · Professional part | $52.48 | $61.66 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $316.23 Typical High $316.23 | Professional | TC · Technical part | $245.47 | $316.23 | $316.23 |
Ambetter 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 Facility Modifier None Typical Low $398.11 Median $562.34 Typical High $1,000.00 | Facility | None | $398.11 | $562.34 | $1,000.00 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $501.19 Median $588.84 Typical High $630.96 | Professional | None (both parts) | $501.19 | $588.84 | $630.96 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $100.00 | $100.00 | $100.00 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $537.03 | $537.03 | $537.03 |
CareSource Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
CareSource Setting Professional Modifier None (both parts) Typical Low $58.88 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $58.88 | $346.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $190.55 Typical High $524.81 | Professional | None (both parts) | $100.00 | $190.55 | $524.81 |
Health Alliance Plan Setting Facility Modifier None Typical Low $251.19 Median $489.78 Typical High $676.08 | Facility | None | $251.19 | $489.78 | $676.08 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $323.59 Typical High $602.56 | Facility | TC · Technical part | $295.12 | $323.59 | $602.56 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $467.74 | Professional | None (both parts) | $194.98 | $257.04 | $467.74 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $77.62 | Professional | 26 · Professional part | $48.98 | $64.57 | $77.62 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $165.96 Typical High $389.05 | Professional | TC · Technical part | $109.65 | $165.96 | $389.05 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $190.55 Typical High $524.81 | Professional | None (both parts) | $100.00 | $190.55 | $524.81 |
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 $134.90 Median $245.47 Typical High $630.96 | Professional | None (both parts) | $134.90 | $245.47 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $67.61 Typical High $107.15 | Professional | 26 · Professional part | $40.74 | $67.61 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $208.93 Typical High $524.81 | Professional | TC · Technical part | $93.33 | $208.93 | $524.81 |
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 $144.54 Median $165.96 Typical High $302.00 | Facility | 52 · Reduced service | $144.54 | $165.96 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $58.88 Median $66.07 Typical High $123.03 | Facility | 53 · Discontinued | $58.88 | $66.07 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $165.96 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $66.07 | $75.86 | $75.86 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $144.54 Median $173.78 Typical High $302.00 | Facility | 52 · Reduced service | $144.54 | $173.78 | $302.00 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $58.88 Median $70.79 Typical High $123.03 | Facility | 53 · Discontinued | $58.88 | $70.79 | $123.03 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $173.78 | $234.42 | $234.42 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $70.79 | $93.33 | $93.33 |
Where Michigan sits
The same service costs 9.1 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· 13th of 51
$479
AK $891AL $97.72
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.