How much rates vary
Facilitymedian $501 · 10th to 90th $200 to $1,445Professionalmedian $204 · 10th to 90th $115 to $245
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 $199.53 Median $218.78 Typical High $4,897.79 | Facility | None | $199.53 | $218.78 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $257.04 | Professional | None (both parts) | $169.82 | $213.80 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $117.49 | Professional | 26 · Professional part | $79.43 | $100.00 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $117.49 | Professional | TC · Technical part | $93.33 | $112.20 | $117.49 |
BCBS Michigan Setting Facility Modifier None Typical Low $501.19 Median $562.34 Typical High $1,258.93 | Facility | None | $501.19 | $562.34 | $1,258.93 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $46.77 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $46.77 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $223.87 Typical High $263.03 | Professional | None (both parts) | $120.23 | $223.87 | $263.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $213.80 Median $467.74 Typical High $2,818.38 | Facility | None | $213.80 | $467.74 | $2,818.38 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $158.49 Median $208.93 Typical High $245.47 | Professional | None (both parts) | $158.49 | $208.93 | $245.47 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $114.82 | Professional | 26 · Professional part | $72.44 | $95.50 | $114.82 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $131.83 | Professional | TC · Technical part | $87.10 | $109.65 | $131.83 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $223.87 Typical High $245.47 | Professional | None (both parts) | $120.23 | $223.87 | $245.47 |
United Setting Facility Modifier None Typical Low $89.13 Median $177.83 Typical High $1,258.93 | Facility | None | $89.13 | $177.83 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $208.93 Typical High $288.40 | Professional | None (both parts) | $190.55 | $208.93 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $93.33 Typical High $128.82 | Professional | 26 · Professional part | $81.28 | $93.33 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $158.49 | Professional | TC · Technical part | $109.65 | $123.03 | $158.49 |
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 $85.11 Median $104.71 Typical High $107.15 | Professional | 52 · Reduced service | $85.11 | $104.71 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $41.69 Typical High $42.66 | Professional | 53 · Discontinued | $33.88 | $41.69 | $42.66 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $93.33 | $104.71 | $104.71 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $38.02 | $41.69 | $41.69 |
Where Michigan sits
The same service costs 4.3 times more in Wisconsin than in Hawaii. 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· 25th of 51
$214
WI $562HI $132
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.