How much rates vary
Facilitymedian $302 · 10th to 90th $129 to $575Professionalmedian $141 · 10th to 90th $89 to $178
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 $141.25 Median $141.25 Typical High $144.54 | Facility | None | $141.25 | $141.25 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $141.25 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $72.44 | Professional | 26 · Professional part | $69.18 | $69.18 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $70.79 | $74.13 | $74.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $120.23 Median $288.40 Typical High $562.34 | Facility | None | $120.23 | $288.40 | $562.34 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $83.18 Median $169.82 Typical High $177.83 | Professional | None (both parts) | $83.18 | $169.82 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $371.54 | Professional | None (both parts) | $112.20 | $151.36 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $79.43 Typical High $173.78 | Professional | 26 · Professional part | $60.26 | $79.43 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $74.13 Typical High $194.98 | Professional | TC · Technical part | $50.12 | $74.13 | $194.98 |
Health Alliance Plan Setting Facility Modifier None Typical Low $141.25 Median $302.00 Typical High $323.59 | Facility | None | $141.25 | $302.00 | $323.59 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $147.91 | Professional | None (both parts) | $112.20 | $141.25 | $147.91 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $75.86 | Professional | 26 · Professional part | $56.23 | $72.44 | $75.86 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $72.44 | Professional | TC · Technical part | $54.95 | $69.18 | $72.44 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $338.84 | Professional | None (both parts) | $109.65 | $144.54 | $338.84 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $158.49 | Professional | 26 · Professional part | $60.26 | $74.13 | $158.49 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $74.13 Typical High $177.83 | Professional | TC · Technical part | $50.12 | $74.13 | $177.83 |
United Setting Facility Modifier None Typical Low $457.09 Median $602.56 Typical High $1,258.93 | Facility | None | $457.09 | $602.56 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $154.88 | Professional | None (both parts) | $112.20 | $131.83 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $81.28 | Professional | 26 · Professional part | $58.88 | $67.61 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $75.86 | Professional | TC · Technical part | $52.48 | $61.66 | $75.86 |
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 $70.79 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $70.79 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.18 | $28.84 | $28.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Where Michigan sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 23rd of 51
$141
MN $269UT $70.79
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.