How much rates vary
Facilitymedian $1,349 · 10th to 90th $1,349 to $5,248Professionalmedian $1,445 · 10th to 90th $1,148 to $1,778
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 $1,348.96 Median $4,786.30 Typical High $6,918.31 | Facility | None | $1,348.96 | $4,786.30 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,380.38 Typical High $1,412.54 | Professional | None (both parts) | $1,202.26 | $1,380.38 | $1,412.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $416.87 Typical High $416.87 | Professional | 26 · Professional part | $331.13 | $416.87 | $416.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $977.24 Typical High $977.24 | Professional | TC · Technical part | $851.14 | $977.24 | $977.24 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $4,365.16 | Facility | None | $1,348.96 | $1,348.96 | $4,365.16 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,737.80 Typical High $1,737.80 | Professional | None (both parts) | $1,174.90 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,621.81 Typical High $2,089.30 | Professional | None (both parts) | $831.76 | $1,621.81 | $2,089.30 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,445.44 Median $3,090.30 Typical High $6,918.31 | Facility | None | $1,445.44 | $3,090.30 | $6,918.31 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,445.44 Typical High $1,737.80 | Professional | None (both parts) | $1,148.15 | $1,445.44 | $1,737.80 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $416.87 Typical High $512.86 | Professional | 26 · Professional part | $354.81 | $416.87 | $512.86 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,000.00 Typical High $1,202.26 | Professional | TC · Technical part | $794.33 | $1,000.00 | $1,202.26 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,548.82 Typical High $1,905.46 | Professional | None (both parts) | $831.76 | $1,548.82 | $1,905.46 |
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 $1,230.27 Median $1,445.44 Typical High $1,862.09 | Professional | None (both parts) | $1,230.27 | $1,445.44 | $1,862.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $446.68 Typical High $602.56 | Professional | 26 · Professional part | $363.08 | $446.68 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $977.24 Typical High $1,288.25 | Professional | TC · Technical part | $831.76 | $977.24 | $1,288.25 |
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 $891.25 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $891.25 | $1,047.13 | $1,047.13 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $1,047.13 | $1,096.48 | $1,096.48 |
Where Michigan sits
The same service costs 4.0 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· 42nd of 51
$1,413
WI $4,467NY $1,122
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.