How much rates vary
Facilitymedian $74 · 10th to 90th $37 to $204Professionalmedian $39 · 10th to 90th $33 to $56
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 $32.36 Median $33.11 Typical High $41.69 | Facility | None | $32.36 | $33.11 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $33.11 Typical High $46.77 | Professional | None (both parts) | $32.36 | $33.11 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $17.38 | Professional | 26 · Professional part | $11.48 | $11.48 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $21.88 Typical High $29.51 | Professional | TC · Technical part | $20.42 | $21.88 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.88 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $33.88 | $47.86 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $11.22 | $11.22 | $11.22 |
BCBS Michigan Setting Facility Modifier None Typical Low $38.90 Median $67.61 Typical High $162.18 | Facility | None | $38.90 | $67.61 | $162.18 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $17.78 Median $52.48 Typical High $56.23 | Professional | None (both parts) | $17.78 | $52.48 | $56.23 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $18.20 | $18.20 | $18.20 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $37.15 | $37.15 | $37.15 |
CareSource Setting Professional Modifier None (both parts) Typical Low $9.77 Median $19.50 Typical High $38.02 | Professional | None (both parts) | $9.77 | $19.50 | $38.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $39.81 Typical High $79.43 | Professional | None (both parts) | $23.99 | $39.81 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $15.85 Typical High $29.51 | Professional | 26 · Professional part | $8.13 | $15.85 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $25.12 Typical High $50.12 | Professional | TC · Technical part | $15.85 | $25.12 | $50.12 |
Health Alliance Plan Setting Facility Modifier None Typical Low $34.67 Median $97.72 Typical High $263.03 | Facility | None | $34.67 | $97.72 | $263.03 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.02 Typical High $51.29 | Professional | None (both parts) | $33.11 | $38.02 | $51.29 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.30 Typical High $17.78 | Professional | 26 · Professional part | $10.96 | $12.30 | $17.78 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $22.39 Typical High $26.92 | Professional | TC · Technical part | $15.85 | $22.39 | $26.92 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $23.99 Median $38.90 Typical High $61.66 | Professional | None (both parts) | $23.99 | $38.90 | $61.66 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $15.49 Typical High $22.91 | Professional | 26 · Professional part | $9.77 | $15.49 | $22.91 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.99 Typical High $38.02 | Professional | TC · Technical part | $16.98 | $23.99 | $38.02 |
United Setting Facility Modifier None Typical Low $131.83 Median $173.78 Typical High $363.08 | Facility | None | $131.83 | $173.78 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $39.81 Typical High $50.12 | Professional | None (both parts) | $34.67 | $39.81 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.49 Typical High $20.42 | Professional | 26 · Professional part | $14.13 | $15.49 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.44 Typical High $30.20 | Professional | TC · Technical part | $20.42 | $23.44 | $30.20 |
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 $15.85 Median $16.60 Typical High $16.98 | Professional | 52 · Reduced service | $15.85 | $16.60 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $6.46 | $6.76 | $6.76 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $17.38 | $17.38 | $17.38 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $6.92 | $6.92 | $6.92 |
Where Michigan sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 32nd of 51
$38.90
AK $83.18FL $30.90
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.