How much rates vary
Facilitymedian $162 · 10th to 90th $76 to $355Professionalmedian $63 · 10th to 90th $48 to $91
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 $61.66 Median $61.66 Typical High $63.10 | Facility | None | $61.66 | $61.66 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $63.10 Typical High $64.57 | Professional | None (both parts) | $48.98 | $63.10 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.47 Typical High $10.72 | Professional | 26 · Professional part | $8.13 | $10.47 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $52.48 Typical High $53.70 | Professional | TC · Technical part | $41.69 | $52.48 | $53.70 |
BCBS Michigan Setting Facility Modifier None Typical Low $91.20 Median $218.78 Typical High $426.58 | Facility | None | $91.20 | $218.78 | $426.58 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $91.20 | Professional | None (both parts) | $72.44 | $85.11 | $91.20 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $14.45 | $14.45 | $14.45 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $75.86 | $75.86 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $43.65 Typical High $87.10 | Professional | None (both parts) | $38.90 | $43.65 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.32 Typical High $15.85 | Professional | 26 · Professional part | $6.31 | $8.32 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $36.31 Typical High $70.79 | Professional | TC · Technical part | $32.36 | $36.31 | $70.79 |
Health Alliance Plan Setting Facility Modifier None Typical Low $60.26 Median $138.04 Typical High $151.36 | Facility | None | $60.26 | $138.04 | $151.36 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $51.29 Median $60.26 Typical High $70.79 | Professional | None (both parts) | $51.29 | $60.26 | $70.79 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.23 Typical High $12.30 | Professional | 26 · Professional part | $8.71 | $10.23 | $12.30 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $50.12 Typical High $57.54 | Professional | TC · Technical part | $41.69 | $50.12 | $57.54 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $42.66 Typical High $83.18 | Professional | None (both parts) | $38.90 | $42.66 | $83.18 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.76 Typical High $12.59 | Professional | 26 · Professional part | $6.17 | $7.76 | $12.59 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $34.67 Typical High $70.79 | Professional | TC · Technical part | $32.36 | $34.67 | $70.79 |
United Setting Facility Modifier None Typical Low $60.26 Median $79.43 Typical High $165.96 | Facility | None | $60.26 | $79.43 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $51.29 Typical High $61.66 | Professional | None (both parts) | $43.65 | $51.29 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.00 Typical High $10.96 | Professional | 26 · Professional part | $8.71 | $10.00 | $10.96 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $42.66 Typical High $51.29 | Professional | TC · Technical part | $34.67 | $42.66 | $51.29 |
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 $24.55 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $24.55 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $9.77 | $12.59 | $12.59 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $24.55 | $30.20 | $30.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $10.00 | $12.02 | $12.02 |
Where Michigan sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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
$63.10
AK $135NJ $38.90
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.