How much rates vary
Facilitymedian $447 · 10th to 90th $126 to $871Professionalmedian $126 · 10th to 90th $98 to $166
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 $117.49 Median $123.03 Typical High $154.88 | Facility | None | $117.49 | $123.03 | $154.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $91.20 Typical High $218.78 | Facility | TC · Technical part | $87.10 | $91.20 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $123.03 Typical High $165.96 | Professional | None (both parts) | $114.82 | $123.03 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $39.81 | Professional | 26 · Professional part | $26.30 | $30.90 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $91.20 Typical High $112.20 | Professional | TC · Technical part | $87.10 | $91.20 | $112.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.12 Typical High $36.31 | Professional | 26 · Professional part | $23.99 | $25.12 | $36.31 |
BCBS Michigan Setting Facility Modifier None Typical Low $151.36 Median $331.13 Typical High $676.08 | Facility | None | $151.36 | $331.13 | $676.08 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $165.96 | Professional | None (both parts) | $112.20 | $154.88 | $165.96 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $34.67 | $40.74 | $40.74 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $125.89 | $125.89 | $125.89 |
CareSource Setting Professional Modifier None (both parts) Typical Low $22.91 Median $81.28 Typical High $120.23 | Professional | None (both parts) | $22.91 | $81.28 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $128.82 Typical High $245.47 | Professional | None (both parts) | $95.50 | $128.82 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $60.26 | Professional | 26 · Professional part | $23.99 | $33.11 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $100.00 Typical High $199.53 | Professional | TC · Technical part | $74.13 | $100.00 | $199.53 |
Health Alliance Plan Setting Facility Modifier None Typical Low $154.88 Median $575.44 Typical High $891.25 | Facility | None | $154.88 | $575.44 | $891.25 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $72.44 | Facility | 26 · Professional part | $24.55 | $32.36 | $72.44 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $100.00 Typical High $218.78 | Facility | TC · Technical part | $89.13 | $100.00 | $218.78 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $177.83 | Professional | None (both parts) | $97.72 | $125.89 | $177.83 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $48.98 | Professional | 26 · Professional part | $25.12 | $32.36 | $48.98 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $117.49 | Professional | TC · Technical part | $72.44 | $93.33 | $117.49 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $213.80 | Professional | None (both parts) | $93.33 | $125.89 | $213.80 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $46.77 | Professional | 26 · Professional part | $25.12 | $32.36 | $46.77 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $165.96 | Professional | TC · Technical part | $72.44 | $93.33 | $165.96 |
United Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $676.08 | Facility | None | $245.47 | $323.59 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $147.91 | Professional | None (both parts) | $100.00 | $131.83 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $38.02 | Professional | 26 · Professional part | $26.30 | $30.90 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $102.33 Typical High $114.82 | Professional | TC · Technical part | $74.13 | $102.33 | $114.82 |
5 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 $57.54 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $57.54 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $22.91 | $24.55 | $24.55 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $63.10 | $63.10 | $63.10 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.12 |
Health Alliance Plan Setting Professional Modifier 59 · Distinct service Typical Low $28.18 Median $46.77 Typical High $131.83 | Professional | 59 · Distinct service | $28.18 | $46.77 | $131.83 |
Where Michigan sits
The same service costs 3.8 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· 29th of 51
$126
MN $275UT $72.44
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.