How much rates vary
Facilitymedian $1,202 · 10th to 90th $1,122 to $6,166Professionalmedian $1,023 · 10th to 90th $794 to $1,318
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 $1,000.00 Median $1,288.25 Typical High $4,897.79 | Facility | None | $1,000.00 | $1,288.25 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,023.29 Typical High $1,318.26 | Professional | None (both parts) | $870.96 | $1,023.29 | $1,318.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $173.78 Typical High $218.78 | Professional | 26 · Professional part | $134.90 | $173.78 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $851.14 Typical High $1,071.52 | Professional | TC · Technical part | $724.44 | $851.14 | $1,071.52 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $3,981.07 | Facility | None | $1,202.26 | $1,202.26 | $3,981.07 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $1,122.02 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,174.90 Typical High $1,659.59 | Professional | None (both parts) | $630.96 | $1,174.90 | $1,659.59 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,288.25 Median $4,466.84 Typical High $8,709.64 | Facility | None | $1,288.25 | $4,466.84 | $8,709.64 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,023.29 Typical High $1,202.26 | Professional | None (both parts) | $794.33 | $1,023.29 | $1,202.26 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $173.78 Typical High $223.87 | Professional | 26 · Professional part | $147.91 | $173.78 | $223.87 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $831.76 Typical High $977.24 | Professional | TC · Technical part | $630.96 | $831.76 | $977.24 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,071.52 Typical High $1,479.11 | Professional | None (both parts) | $630.96 | $1,071.52 | $1,479.11 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,238.72 Typical High $7,762.47 | Facility | None | $851.14 | $2,238.72 | $7,762.47 |
United Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,000.00 Typical High $1,288.25 | Professional | None (both parts) | $831.76 | $1,000.00 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $190.55 Typical High $257.04 | Professional | 26 · Professional part | $151.36 | $190.55 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $794.33 Typical High $1,071.52 | Professional | TC · Technical part | $676.08 | $794.33 | $1,071.52 |
2 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 54 · Surgery only Typical Low $660.69 Median $776.25 Typical High $776.25 | Professional | 54 · Surgery only | $660.69 | $776.25 | $776.25 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $794.33 | $831.76 | $831.76 |
Where Michigan sits
The same service costs 4.3 times more in Wisconsin 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· 40th of 51
$1,122
WI $3,467NY $813
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.