How much rates vary
Facilitymedian $447 · 10th to 90th $195 to $1,096Professionalmedian $191 · 10th to 90th $138 to $240
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 $181.97 Median $190.55 Typical High $199.53 | Facility | None | $181.97 | $190.55 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $213.80 | Professional | None (both parts) | $154.88 | $190.55 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $50.12 | Professional | 26 · Professional part | $37.15 | $44.67 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $151.36 | Professional | TC · Technical part | $117.49 | $144.54 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
BCBS Michigan Setting Facility Modifier None Typical Low $234.42 Median $524.81 Typical High $1,047.13 | Facility | None | $234.42 | $524.81 | $1,047.13 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $181.97 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $181.97 Typical High $380.19 | Professional | None (both parts) | $138.04 | $181.97 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $89.13 | Professional | 26 · Professional part | $35.48 | $46.77 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $338.84 | Professional | TC · Technical part | $95.50 | $138.04 | $338.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $199.53 Median $380.19 Typical High $1,288.25 | Facility | None | $199.53 | $380.19 | $1,288.25 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $218.78 | Professional | None (both parts) | $131.83 | $177.83 | $218.78 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $36.31 | $46.77 | $58.88 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $154.88 | Professional | TC · Technical part | $95.50 | $134.90 | $154.88 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $288.40 | Professional | None (both parts) | $125.89 | $165.96 | $288.40 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $67.61 | Professional | 26 · Professional part | $35.48 | $44.67 | $67.61 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $223.87 | Professional | TC · Technical part | $93.33 | $131.83 | $223.87 |
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 $144.54 Median $165.96 Typical High $194.98 | Professional | None (both parts) | $144.54 | $165.96 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $51.29 | Professional | 26 · Professional part | $37.15 | $44.67 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $147.91 | Professional | TC · Technical part | $107.15 | $125.89 | $147.91 |
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 $91.20 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $91.20 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $36.31 | $38.02 | $38.02 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $97.72 | $97.72 | $97.72 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $39.81 | $39.81 | $39.81 |
Where Michigan sits
The same service costs 3.0 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· 25th of 51
$191
AK $380UT $129
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.