How much rates vary
Facilitymedian $87 · 10th to 90th $38 to $166Professionalmedian $39 · 10th to 90th $32 to $51
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 $38.90 Median $38.90 Typical High $40.74 | Facility | None | $38.90 | $38.90 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $39.81 Typical High $40.74 | Professional | None (both parts) | $38.90 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $16.22 | Professional | 26 · Professional part | $15.85 | $15.85 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $24.55 Typical High $24.55 | Professional | TC · Technical part | $23.44 | $24.55 | $24.55 |
BCBS Michigan Setting Facility Modifier None Typical Low $38.02 Median $97.72 Typical High $190.55 | Facility | None | $38.02 | $97.72 | $190.55 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $30.20 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $30.20 | $51.29 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $48.98 Typical High $102.33 | Professional | None (both parts) | $34.67 | $48.98 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.98 Typical High $39.81 | Professional | 26 · Professional part | $12.88 | $16.98 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $29.51 Typical High $63.10 | Professional | TC · Technical part | $19.95 | $29.51 | $63.10 |
Health Alliance Plan Setting Facility Modifier None Typical Low $37.15 Median $87.10 Typical High $95.50 | Facility | None | $37.15 | $87.10 | $95.50 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $32.36 Median $37.15 Typical High $42.66 | Professional | None (both parts) | $32.36 | $37.15 | $42.66 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.22 Typical High $16.60 | Professional | 26 · Professional part | $12.30 | $16.22 | $16.60 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $20.89 Typical High $26.30 | Professional | TC · Technical part | $19.95 | $20.89 | $26.30 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $41.69 Typical High $93.33 | Professional | None (both parts) | $27.54 | $41.69 | $93.33 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.60 Typical High $35.48 | Professional | 26 · Professional part | $12.59 | $16.60 | $35.48 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $26.30 Typical High $57.54 | Professional | TC · Technical part | $18.62 | $26.30 | $57.54 |
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 $30.90 Median $36.31 Typical High $58.88 | Professional | None (both parts) | $30.90 | $36.31 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $16.98 | Professional | 26 · Professional part | $12.88 | $14.79 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $38.90 | Professional | TC · Technical part | $17.78 | $20.89 | $38.90 |
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 $19.50 Median $19.95 Typical High $20.42 | Professional | 52 · Reduced service | $19.50 | $19.95 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.94 Typical High $8.13 | Professional | 53 · Discontinued | $7.76 | $7.94 | $8.13 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $18.62 | $18.62 | $18.62 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $7.41 | $7.41 | $7.41 |
Where Michigan sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 29th of 51
$39.81
MN $74.13AL $28.18
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.