How much rates vary
Facilitymedian $71 · 10th to 90th $46 to $151Professionalmedian $87 · 10th to 90th $54 to $107
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 $85.11 Median $89.13 Typical High $109.65 | Facility | None | $85.11 | $89.13 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $87.10 Typical High $89.13 | Professional | None (both parts) | $85.11 | $87.10 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $46.77 | Professional | 26 · Professional part | $44.67 | $44.67 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $40.74 | $42.66 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
BCBS Michigan Setting Facility Modifier None Typical Low $44.67 Median $58.88 Typical High $131.83 | Facility | None | $44.67 | $58.88 | $131.83 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $53.70 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $53.70 | $107.15 | $107.15 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $87.10 Typical High $229.09 | Professional | None (both parts) | $66.07 | $87.10 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $52.48 Typical High $114.82 | Professional | 26 · Professional part | $41.69 | $52.48 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.11 Typical High $114.82 | Professional | TC · Technical part | $25.12 | $33.11 | $114.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $47.86 Median $89.13 Typical High $169.82 | Facility | None | $47.86 | $89.13 | $169.82 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $45.71 Typical High $102.33 | Facility | TC · Technical part | $42.66 | $45.71 | $102.33 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $57.54 Median $87.10 Typical High $91.20 | Professional | None (both parts) | $57.54 | $87.10 | $91.20 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $45.71 Typical High $47.86 | Professional | 26 · Professional part | $29.51 | $45.71 | $47.86 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $38.02 Typical High $43.65 | Professional | TC · Technical part | $16.60 | $38.02 | $43.65 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $87.10 Typical High $208.93 | Professional | None (both parts) | $64.57 | $87.10 | $208.93 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $47.86 | $104.71 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.88 Typical High $102.33 | Professional | TC · Technical part | $25.12 | $33.88 | $102.33 |
United Setting Facility Modifier None Typical Low $38.02 Median $50.12 Typical High $104.71 | Facility | None | $38.02 | $50.12 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $74.13 Typical High $83.18 | Professional | None (both parts) | $63.10 | $74.13 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $52.48 | Professional | 26 · Professional part | $38.02 | $45.71 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $27.54 Typical High $32.36 | Professional | TC · Technical part | $22.91 | $27.54 | $32.36 |
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 $42.66 Median $43.65 Typical High $44.67 | Professional | 52 · Reduced service | $42.66 | $43.65 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.78 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.78 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $18.20 | $18.20 | $18.20 |
Where Michigan sits
The same service costs 3.3 times more in Alaska 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· 18th of 51
$87.10
AK $162UT $48.98
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.