How much rates vary
Facilitymedian $389 · 10th to 90th $174 to $891Professionalmedian $178 · 10th to 90th $117 to $251
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 $181.97 Median $181.97 Typical High $229.09 | Facility | None | $181.97 | $181.97 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $181.97 Typical High $190.55 | Professional | None (both parts) | $141.25 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $57.54 | Professional | 26 · Professional part | $43.65 | $48.98 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $141.25 | Professional | TC · Technical part | $95.50 | $134.90 | $141.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $151.36 | $158.49 | $158.49 |
BCBS Michigan Setting Facility Modifier None Typical Low $239.88 Median $562.34 Typical High $1,122.02 | Facility | None | $239.88 | $562.34 | $1,122.02 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $87.10 Median $239.88 Typical High $251.19 | Professional | None (both parts) | $87.10 | $239.88 | $251.19 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $69.18 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.90 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $38.90 | $114.82 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $144.54 Typical High $338.84 | Professional | None (both parts) | $85.11 | $144.54 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $50.12 Typical High $97.72 | Professional | 26 · Professional part | $30.20 | $50.12 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $93.33 Typical High $234.42 | Professional | TC · Technical part | $48.98 | $93.33 | $234.42 |
Health Alliance Plan Setting Facility Modifier None Typical Low $154.88 Median $234.42 Typical High $616.60 | Facility | None | $154.88 | $234.42 | $616.60 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $190.55 | Professional | None (both parts) | $131.83 | $154.88 | $190.55 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $48.98 Typical High $63.10 | Professional | 26 · Professional part | $44.67 | $48.98 | $63.10 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $141.25 | Professional | TC · Technical part | $89.13 | $104.71 | $141.25 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $125.89 Typical High $295.12 | Professional | None (both parts) | $83.18 | $125.89 | $295.12 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $47.86 Typical High $85.11 | Professional | 26 · Professional part | $30.20 | $47.86 | $85.11 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $77.62 Typical High $223.87 | Professional | TC · Technical part | $46.77 | $77.62 | $223.87 |
United Setting Facility Modifier None Typical Low $223.87 Median $288.40 Typical High $602.56 | Facility | None | $223.87 | $288.40 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $100.00 | $125.89 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $60.26 | Professional | 26 · Professional part | $43.65 | $48.98 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $79.43 Typical High $102.33 | Professional | TC · Technical part | $54.95 | $79.43 | $102.33 |
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 $66.07 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $66.07 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $26.30 | $36.31 | $36.31 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Where Michigan sits
The same service costs 3.2 times more in Alaska than in New York. 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· 16th of 51
$178
AK $347NY $107
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.