How much rates vary
Facilitymedian $2,754 · 10th to 90th $933 to $6,918Professionalmedian $1,288 · 10th to 90th $1,047 to $1,585
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 $1,174.90 Median $4,786.30 Typical High $6,918.31 | Facility | None | $1,174.90 | $4,786.30 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,230.27 Typical High $1,548.82 | Professional | None (both parts) | $1,047.13 | $1,230.27 | $1,548.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $371.54 Typical High $436.52 | Professional | 26 · Professional part | $281.84 | $371.54 | $436.52 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $851.14 Typical High $1,023.29 | Professional | TC · Technical part | $758.58 | $851.14 | $1,023.29 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,318.26 Median $3,311.31 Typical High $6,606.93 | Facility | None | $1,318.26 | $3,311.31 | $6,606.93 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,047.13 | $1,513.56 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,412.54 Typical High $1,905.46 | Professional | None (both parts) | $741.31 | $1,412.54 | $1,905.46 |
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 $1,047.13 Median $1,288.25 Typical High $1,584.89 | Professional | None (both parts) | $1,047.13 | $1,288.25 | $1,584.89 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $363.08 Typical High $467.74 | Professional | 26 · Professional part | $309.03 | $363.08 | $467.74 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $912.01 Typical High $1,122.02 | Professional | TC · Technical part | $741.31 | $912.01 | $1,122.02 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,412.54 Typical High $1,737.80 | Professional | None (both parts) | $741.31 | $1,412.54 | $1,737.80 |
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 $1,096.48 Median $1,318.26 Typical High $1,737.80 | Professional | None (both parts) | $1,096.48 | $1,318.26 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $398.11 Typical High $537.03 | Professional | 26 · Professional part | $323.59 | $398.11 | $537.03 |
United Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $912.01 Typical High $1,202.26 | Professional | TC · Technical part | $776.25 | $912.01 | $1,202.26 |
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 $794.33 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $794.33 | $933.25 | $933.25 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $912.01 | $954.99 | $954.99 |
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· 40th of 51
$1,288
WI $4,074NY $1,023
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.