How much rates vary
Facilitymedian $692 · 10th to 90th $275 to $1,622Professionalmedian $263 · 10th to 90th $151 to $339
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 $263.03 Median $275.42 Typical High $338.84 | Facility | None | $263.03 | $275.42 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $269.15 Typical High $323.59 | Professional | None (both parts) | $234.42 | $269.15 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $95.50 | Professional | 26 · Professional part | $64.57 | $77.62 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $213.80 | Professional | TC · Technical part | $165.96 | $194.98 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $316.23 | Professional | None (both parts) | $169.82 | $223.87 | $316.23 |
Ambetter 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 Facility Modifier None Typical Low $316.23 Median $707.95 Typical High $1,412.54 | Facility | None | $316.23 | $707.95 | $1,412.54 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $93.33 Median $245.47 Typical High $338.84 | Professional | None (both parts) | $93.33 | $245.47 | $338.84 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $85.11 | $100.00 | $100.00 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $263.03 | $263.03 | $263.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $56.23 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $56.23 | $169.82 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $275.42 Typical High $537.03 | Professional | None (both parts) | $213.80 | $275.42 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $147.91 | Professional | 26 · Professional part | $58.88 | $83.18 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $199.53 Typical High $457.09 | Professional | TC · Technical part | $154.88 | $199.53 | $457.09 |
Health Alliance Plan Setting Facility Modifier None Typical Low $281.84 Median $776.25 Typical High $1,905.46 | Facility | None | $281.84 | $776.25 | $1,905.46 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $199.53 Median $269.15 Typical High $363.08 | Professional | None (both parts) | $199.53 | $269.15 | $363.08 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $107.15 | Professional | 26 · Professional part | $63.10 | $81.28 | $107.15 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $190.55 Typical High $218.78 | Professional | TC · Technical part | $138.04 | $190.55 | $218.78 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $416.87 | Professional | None (both parts) | $204.17 | $257.04 | $416.87 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $117.49 | Professional | 26 · Professional part | $61.66 | $75.86 | $117.49 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $302.00 | Professional | TC · Technical part | $154.88 | $190.55 | $302.00 |
United Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $1,548.82 | Facility | None | $562.34 | $724.44 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $263.03 Typical High $302.00 | Professional | None (both parts) | $223.87 | $263.03 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $91.20 | Professional | 26 · Professional part | $64.57 | $77.62 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $186.21 Typical High $213.80 | Professional | TC · Technical part | $158.49 | $186.21 | $213.80 |
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 $128.82 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $128.82 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $53.70 Typical High $54.95 | Professional | 53 · Discontinued | $51.29 | $53.70 | $54.95 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $141.25 | $141.25 | $141.25 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
Where Michigan sits
The same service costs 3.5 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· 32nd of 51
$263
AK $562UT $158
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.