How much rates vary
Facilitymedian $112 · 10th to 90th $38 to $257Professionalmedian $81 · 10th to 90th $56 to $120
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 $95.50 Median $100.00 Typical High $123.03 | Facility | None | $95.50 | $100.00 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $97.72 Typical High $102.33 | Professional | None (both parts) | $93.33 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $47.86 | Professional | 26 · Professional part | $45.71 | $45.71 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $51.29 Typical High $53.70 | Professional | TC · Technical part | $48.98 | $51.29 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $74.13 | $74.13 | $74.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $31.62 | $37.15 | $37.15 |
BCBS Michigan Setting Facility Modifier None Typical Low $72.44 Median $181.97 Typical High $363.08 | Facility | None | $72.44 | $181.97 | $363.08 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $56.23 Median $64.57 Typical High $120.23 | Professional | None (both parts) | $56.23 | $64.57 | $120.23 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $69.18 | $69.18 | $69.18 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.02 Median $43.65 Typical High $89.13 | Professional | None (both parts) | $38.02 | $43.65 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $89.13 Typical High $257.04 | Professional | None (both parts) | $69.18 | $89.13 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $117.49 | Professional | 26 · Professional part | $43.65 | $56.23 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.88 Typical High $138.04 | Professional | TC · Technical part | $25.12 | $33.88 | $138.04 |
Health Alliance Plan Setting Facility Modifier None Typical Low $36.31 Median $102.33 Typical High $154.88 | Facility | None | $36.31 | $102.33 | $154.88 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $38.90 Median $52.48 Typical High $81.28 | Facility | TC · Technical part | $38.90 | $52.48 | $81.28 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $57.54 Median $91.20 Typical High $102.33 | Professional | None (both parts) | $57.54 | $91.20 | $102.33 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $53.70 | Professional | 26 · Professional part | $38.02 | $48.98 | $53.70 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $48.98 Typical High $53.70 | Professional | TC · Technical part | $19.95 | $48.98 | $53.70 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $89.13 Typical High $234.42 | Professional | None (both parts) | $67.61 | $89.13 | $234.42 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $107.15 | Professional | 26 · Professional part | $40.74 | $52.48 | $107.15 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $36.31 Typical High $125.89 | Professional | TC · Technical part | $26.30 | $36.31 | $125.89 |
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 $61.66 Median $69.18 Typical High $81.28 | Professional | None (both parts) | $61.66 | $69.18 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $50.12 | Professional | 26 · Professional part | $39.81 | $43.65 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.44 Typical High $37.15 | Professional | TC · Technical part | $21.38 | $23.44 | $37.15 |
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 $47.86 Median $48.98 Typical High $50.12 | Professional | 52 · Reduced service | $47.86 | $48.98 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.50 Typical High $19.95 | Professional | 53 · Discontinued | $19.05 | $19.50 | $19.95 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $51.29 | $51.29 | $51.29 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $20.42 | $20.42 | $20.42 |
Where Michigan sits
The same service costs 3.4 times more in Alaska than in New York. 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· 24th of 51
$81.28
AK $182NY $53.70
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.