How much rates vary
Facilitymedian $288 · 10th to 90th $151 to $347Professionalmedian $155 · 10th to 90th $69 to $288
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $154.88 Typical High $162.18 | Professional | None (both parts) | $56.23 | $154.88 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $27.54 Typical High $39.81 | Professional | 26 · Professional part | $13.80 | $27.54 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $123.03 Typical High $125.89 | Professional | TC · Technical part | $39.81 | $123.03 | $125.89 |
BCBS Michigan Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $208.93 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $208.93 | $288.40 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $144.54 Typical High $302.00 | Professional | None (both parts) | $67.61 | $144.54 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $42.66 Typical High $79.43 | Professional | 26 · Professional part | $14.13 | $42.66 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $100.00 Typical High $234.42 | Professional | TC · Technical part | $47.86 | $100.00 | $234.42 |
Health Alliance Plan Setting Facility Modifier None Typical Low $162.18 Median $316.23 Typical High $346.74 | Facility | None | $162.18 | $316.23 | $346.74 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $117.49 Median $151.36 Typical High $173.78 | Professional | None (both parts) | $117.49 | $151.36 | $173.78 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $46.77 | Professional | 26 · Professional part | $26.92 | $38.02 | $46.77 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $112.20 Typical High $131.83 | Professional | TC · Technical part | $87.10 | $112.20 | $131.83 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $45.71 | $141.25 | $257.04 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $37.15 Typical High $74.13 | Professional | 26 · Professional part | $13.80 | $37.15 | $74.13 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $97.72 Typical High $208.93 | Professional | TC · Technical part | $33.88 | $97.72 | $208.93 |
United Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $371.54 | Facility | None | $138.04 | $177.83 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $123.03 Typical High $177.83 | Professional | None (both parts) | $52.48 | $123.03 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $67.61 | Professional | 26 · Professional part | $46.77 | $52.48 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $93.33 Typical High $131.83 | Professional | TC · Technical part | $56.23 | $93.33 | $131.83 |
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 $69.18 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $69.18 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $27.54 | $30.90 | $30.90 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $81.28 | $81.28 | $81.28 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $32.36 | $32.36 | $32.36 |
Where Michigan sits
The same service costs 5.2 times more in Alaska than in Indiana. 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· 21st of 51
$155
AK $363IN $69.18
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.