How much rates vary
Facilitymedian $955 · 10th to 90th $309 to $2,291Professionalmedian $263 · 10th to 90th $204 to $347
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 $239.88 Median $245.47 Typical High $257.04 | Facility | None | $239.88 | $245.47 | $257.04 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $85.11 Median $87.10 Typical High $91.20 | Facility | 26 · Professional part | $85.11 | $87.10 | $91.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $158.49 Typical High $239.88 | Facility | TC · Technical part | $151.36 | $158.49 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $245.47 Typical High $323.59 | Professional | None (both parts) | $223.87 | $245.47 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $104.71 | Professional | 26 · Professional part | $70.79 | $85.11 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $158.49 Typical High $218.78 | Professional | TC · Technical part | $151.36 | $158.49 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $186.21 | $263.03 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $100.00 | Professional | 26 · Professional part | $66.07 | $79.43 | $100.00 |
BCBS Michigan Setting Facility Modifier None Typical Low $275.42 Median $602.56 Typical High $1,202.26 | Facility | None | $275.42 | $602.56 | $1,202.26 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $199.53 Median $302.00 Typical High $323.59 | Professional | None (both parts) | $199.53 | $302.00 | $323.59 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $213.80 | $213.80 | $213.80 |
CareSource Setting Professional Modifier None (both parts) Typical Low $63.10 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $63.10 | $141.25 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $158.49 | $275.42 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $169.82 | Professional | 26 · Professional part | $66.07 | $89.13 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $190.55 Typical High $354.81 | Professional | TC · Technical part | $131.83 | $190.55 | $354.81 |
Health Alliance Plan Setting Facility Modifier None Typical Low $501.19 Median $1,148.15 Typical High $2,290.87 | Facility | None | $501.19 | $1,148.15 | $2,290.87 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $85.11 Median $89.13 Typical High $181.97 | Facility | 26 · Professional part | $85.11 | $89.13 | $181.97 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $380.19 Typical High $1,258.93 | Facility | TC · Technical part | $151.36 | $380.19 | $1,258.93 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $204.17 Median $251.19 Typical High $436.52 | Professional | None (both parts) | $204.17 | $251.19 | $436.52 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $63.10 | $83.18 | $125.89 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $162.18 Typical High $218.78 | Professional | TC · Technical part | $144.54 | $162.18 | $218.78 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $257.04 Typical High $398.11 | Professional | None (both parts) | $154.88 | $257.04 | $398.11 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $120.23 | Professional | 26 · Professional part | $64.57 | $83.18 | $120.23 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $181.97 Typical High $281.84 | Professional | TC · Technical part | $128.82 | $181.97 | $281.84 |
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 $213.80 Median $263.03 Typical High $346.74 | Professional | None (both parts) | $213.80 | $263.03 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $97.72 | Professional | 26 · Professional part | $67.61 | $83.18 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $186.21 Typical High $257.04 | Professional | TC · Technical part | $134.90 | $186.21 | $257.04 |
1 more rate 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 |
|---|---|---|---|---|---|
Health Alliance Plan Setting Professional Modifier 59 · Distinct service Typical Low $64.57 Median $245.47 Typical High $758.58 | Professional | 59 · Distinct service | $64.57 | $245.47 | $758.58 |
Where Michigan sits
The same service costs 6.3 times more in Minnesota 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· 28th of 51
$269
MN $759UT $120
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.