How much rates vary
Facilitymedian $2,818 · 10th to 90th $891 to $7,079Professionalmedian $1,585 · 10th to 90th $1,288 to $1,950
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 $1,445.44 Median $4,786.30 Typical High $6,918.31 | Facility | None | $1,445.44 | $4,786.30 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,479.11 Typical High $1,698.24 | Professional | None (both parts) | $1,258.93 | $1,479.11 | $1,698.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $467.74 Typical High $501.19 | Professional | 26 · Professional part | $346.74 | $467.74 | $501.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,023.29 Typical High $1,096.48 | Professional | TC · Technical part | $891.25 | $1,023.29 | $1,096.48 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,584.89 Median $3,981.07 Typical High $7,943.28 | Facility | None | $1,584.89 | $3,981.07 | $7,943.28 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,862.09 Typical High $1,862.09 | Professional | None (both parts) | $1,258.93 | $1,862.09 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,737.80 Typical High $2,344.23 | Professional | None (both parts) | $891.25 | $1,737.80 | $2,344.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,445.44 Median $3,467.37 Typical High $6,918.31 | Facility | None | $1,445.44 | $3,467.37 | $6,918.31 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,584.89 Typical High $1,949.84 | Professional | None (both parts) | $1,288.25 | $1,584.89 | $1,949.84 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $457.09 Typical High $602.56 | Professional | 26 · Professional part | $398.11 | $457.09 | $602.56 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,122.02 Typical High $1,348.96 | Professional | TC · Technical part | $891.25 | $1,122.02 | $1,348.96 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,698.24 Typical High $2,137.96 | Professional | None (both parts) | $891.25 | $1,698.24 | $2,137.96 |
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 $1,348.96 Median $1,584.89 Typical High $2,089.30 | Professional | None (both parts) | $1,348.96 | $1,584.89 | $2,089.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $501.19 Typical High $660.69 | Professional | 26 · Professional part | $407.38 | $501.19 | $660.69 |
United Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,096.48 Typical High $1,445.44 | Professional | TC · Technical part | $933.25 | $1,096.48 | $1,445.44 |
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 $954.99 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $954.99 | $1,122.02 | $1,122.02 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,174.90 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,122.02 | $1,174.90 | $1,174.90 |
Where Michigan sits
The same service costs 3.9 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· 37th of 51
$1,585
WI $4,898NY $1,259
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.