How much rates vary
Facilitymedian $1,445 · 10th to 90th $1,380 to $7,943Professionalmedian $1,585 · 10th to 90th $1,202 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 $1,584.89 Typical High $6,918.31 | Facility | None | $1,445.44 | $1,584.89 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,513.56 Typical High $1,905.46 | Professional | None (both parts) | $1,348.96 | $1,513.56 | $1,905.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $501.19 Typical High $588.84 | Professional | 26 · Professional part | $380.19 | $501.19 | $588.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,023.29 Typical High $1,202.26 | Professional | TC · Technical part | $912.01 | $1,023.29 | $1,202.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $389.05 Typical High $389.05 | Professional | 26 · Professional part | $363.08 | $389.05 | $389.05 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $4,570.88 | Facility | None | $1,380.38 | $1,380.38 | $4,570.88 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,862.09 Typical High $1,862.09 | Professional | None (both parts) | $562.34 | $1,862.09 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,737.80 Typical High $2,290.87 | Professional | None (both parts) | $912.01 | $1,737.80 | $2,290.87 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,445.44 Median $5,495.41 Typical High $16,218.10 | Facility | None | $1,445.44 | $5,495.41 | $16,218.10 |
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 $389.05 Median $489.78 Typical High $630.96 | Professional | 26 · Professional part | $389.05 | $489.78 | $630.96 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,071.52 Typical High $1,318.26 | Professional | TC · Technical part | $870.96 | $1,071.52 | $1,318.26 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,698.24 Typical High $2,137.96 | Professional | None (both parts) | $912.01 | $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 $1,380.38 Median $1,621.81 Typical High $2,089.30 | Professional | None (both parts) | $1,380.38 | $1,621.81 | $2,089.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $537.03 Typical High $707.95 | Professional | 26 · Professional part | $426.58 | $537.03 | $707.95 |
United Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,071.52 Typical High $1,412.54 | Professional | TC · Technical part | $912.01 | $1,071.52 | $1,412.54 |
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 $977.24 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $977.24 | $1,148.15 | $1,148.15 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,202.26 Typical High $1,202.26 | Professional | 54 · Surgery only | $1,122.02 | $1,202.26 | $1,202.26 |
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· 38th of 51
$1,549
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.