How much rates vary
Facilitymedian $513 · 10th to 90th $214 to $1,023Professionalmedian $214 · 10th to 90th $132 to $316
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 $213.80 Median $213.80 Typical High $223.87 | Facility | None | $213.80 | $213.80 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $199.53 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $114.82 | Professional | 26 · Professional part | $91.20 | $112.20 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $102.33 | $112.20 | $112.20 |
BCBS Michigan Setting Facility Modifier None Typical Low $213.80 Median $549.54 Typical High $1,096.48 | Facility | None | $213.80 | $549.54 | $1,096.48 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $125.89 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $125.89 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $245.47 Typical High $436.52 | Professional | None (both parts) | $173.78 | $245.47 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $223.87 | Professional | 26 · Professional part | $87.10 | $120.23 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $125.89 Typical High $251.19 | Professional | TC · Technical part | $89.13 | $125.89 | $251.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $223.87 Median $501.19 Typical High $549.54 | Facility | None | $223.87 | $501.19 | $549.54 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $302.00 | Professional | None (both parts) | $186.21 | $223.87 | $302.00 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $114.82 Typical High $138.04 | Professional | 26 · Professional part | $95.50 | $114.82 | $138.04 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $109.65 Typical High $181.97 | Professional | TC · Technical part | $93.33 | $109.65 | $181.97 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $173.78 | $239.88 | $363.08 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $177.83 | Professional | 26 · Professional part | $89.13 | $112.20 | $177.83 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $125.89 Typical High $245.47 | Professional | TC · Technical part | $91.20 | $125.89 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $302.00 Typical High $346.74 | Professional | None (both parts) | $269.15 | $302.00 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $107.15 Typical High $125.89 | Professional | 26 · Professional part | $93.33 | $107.15 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $194.98 Typical High $229.09 | Professional | TC · Technical part | $173.78 | $194.98 | $229.09 |
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 $102.33 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $102.33 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $40.74 | $44.67 | $44.67 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $112.20 | $112.20 | $112.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $44.67 | $44.67 | $44.67 |
Where Michigan sits
The same service costs 3.1 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· 44th of 51
$214
AK $537NY $174
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.