How much rates vary
Facilitymedian $1,514 · 10th to 90th $891 to $2,630Professionalmedian $1,047 · 10th to 90th $813 to $1,514
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $891.25 Median $891.25 Typical High $933.25 | Facility | None | $891.25 | $891.25 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $891.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $131.83 Typical High $138.04 | Professional | 26 · Professional part | $125.89 | $131.83 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $758.58 | $794.33 | $794.33 |
BCBS Michigan Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $194.98 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $194.98 | $1,513.56 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,122.02 Typical High $2,238.72 | Professional | None (both parts) | $724.44 | $1,122.02 | $2,238.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $144.54 Typical High $295.12 | Professional | 26 · Professional part | $91.20 | $144.54 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $977.24 Typical High $1,949.84 | Professional | TC · Technical part | $630.96 | $977.24 | $1,949.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,023.29 Median $2,398.83 Typical High $2,630.27 | Facility | None | $1,023.29 | $2,398.83 | $2,630.27 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,023.29 Typical High $1,202.26 | Professional | None (both parts) | $891.25 | $1,023.29 | $1,202.26 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $141.25 Typical High $158.49 | Professional | 26 · Professional part | $120.23 | $141.25 | $158.49 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $891.25 Typical High $1,047.13 | Professional | TC · Technical part | $776.25 | $891.25 | $1,047.13 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,071.52 Typical High $1,819.70 | Professional | None (both parts) | $724.44 | $1,071.52 | $1,819.70 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $134.90 Typical High $234.42 | Professional | 26 · Professional part | $91.20 | $134.90 | $234.42 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $933.25 Typical High $1,584.89 | Professional | TC · Technical part | $630.96 | $933.25 | $1,584.89 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,258.93 Typical High $2,630.27 | Facility | None | $954.99 | $1,258.93 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,071.52 Typical High $1,380.38 | Professional | None (both parts) | $954.99 | $1,071.52 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $138.04 Typical High $177.83 | Professional | 26 · Professional part | $123.03 | $138.04 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $933.25 Typical High $1,202.26 | Professional | TC · Technical part | $831.76 | $933.25 | $1,202.26 |
4 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 Professional Modifier 52 · Reduced service Typical Low $436.52 Median $457.09 Typical High $467.74 | Professional | 52 · Reduced service | $436.52 | $457.09 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $177.83 | $186.21 | $186.21 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $512.86 | $512.86 | $512.86 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $204.17 | $204.17 | $204.17 |
Where Michigan sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 31st of 51
$1,047
AK $2,455UT $759
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.