How much rates vary
Facilitymedian $1,072 · 10th to 90th $1,072 to $4,898Professionalmedian $1,122 · 10th to 90th $871 to $1,349
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 $1,047.13 Median $4,786.30 Typical High $6,918.31 | Facility | None | $1,047.13 | $4,786.30 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,096.48 Typical High $1,230.27 | Professional | None (both parts) | $912.01 | $1,096.48 | $1,230.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $316.23 Typical High $331.13 | Professional | 26 · Professional part | $239.88 | $316.23 | $331.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $776.25 Typical High $812.83 | Professional | TC · Technical part | $660.69 | $776.25 | $812.83 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $3,548.13 | Facility | None | $1,071.52 | $1,071.52 | $3,548.13 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $354.81 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $354.81 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,258.93 Typical High $1,659.59 | Professional | None (both parts) | $660.69 | $1,258.93 | $1,659.59 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,445.44 Median $2,344.23 Typical High $6,918.31 | Facility | None | $1,445.44 | $2,344.23 | $6,918.31 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,122.02 Typical High $1,348.96 | Professional | None (both parts) | $870.96 | $1,122.02 | $1,348.96 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $309.03 Typical High $389.05 | Professional | 26 · Professional part | $275.42 | $309.03 | $389.05 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $776.25 Typical High $933.25 | Professional | TC · Technical part | $602.56 | $776.25 | $933.25 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,202.26 Typical High $1,584.89 | Professional | None (both parts) | $660.69 | $1,202.26 | $1,584.89 |
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 $933.25 Median $1,122.02 Typical High $1,445.44 | Professional | None (both parts) | $933.25 | $1,122.02 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $338.84 Typical High $457.09 | Professional | 26 · Professional part | $269.15 | $338.84 | $457.09 |
United Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $758.58 Typical High $1,023.29 | Professional | TC · Technical part | $645.65 | $758.58 | $1,023.29 |
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 $707.95 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $707.95 | $812.83 | $812.83 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $831.76 | $870.96 | $870.96 |
Where Michigan sits
The same service costs 4.2 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· 43rd of 51
$1,096
WI $3,631NY $871
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.