How much rates vary
Facilitymedian $209 · 10th to 90th $151 to $871Professionalmedian $263 · 10th to 90th $72 to $389
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 $251.19 Median $257.04 Typical High $331.13 | Facility | None | $251.19 | $257.04 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $263.03 Typical High $331.13 | Professional | None (both parts) | $251.19 | $263.03 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $95.50 Typical High $141.25 | Professional | 26 · Professional part | $89.13 | $95.50 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $169.82 Typical High $194.98 | Professional | TC · Technical part | $158.49 | $169.82 | $194.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $93.33 | $93.33 | $93.33 |
BCBS Michigan Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $691.83 | Facility | None | $208.93 | $208.93 | $691.83 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $57.54 Median $134.90 Typical High $144.54 | Professional | None (both parts) | $57.54 | $134.90 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $354.81 Typical High $436.52 | Professional | None (both parts) | $151.36 | $354.81 | $436.52 |
Health Alliance Plan Setting Facility Modifier None Typical Low $263.03 Median $758.58 Typical High $3,630.78 | Facility | None | $263.03 | $758.58 | $3,630.78 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $257.04 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $257.04 | $275.42 | $398.11 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $100.00 Typical High $141.25 | Professional | 26 · Professional part | $91.20 | $100.00 | $141.25 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $181.97 Typical High $257.04 | Professional | TC · Technical part | $165.96 | $181.97 | $257.04 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $288.40 Typical High $407.38 | Professional | None (both parts) | $151.36 | $288.40 | $407.38 |
United Setting Facility Modifier None Typical Low $89.13 Median $177.83 Typical High $1,258.93 | Facility | None | $89.13 | $177.83 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $302.00 | $346.74 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $112.20 Typical High $158.49 | Professional | 26 · Professional part | $85.11 | $112.20 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $234.42 Typical High $309.03 | Professional | TC · Technical part | $213.80 | $234.42 | $309.03 |
4 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 52 · Reduced service Typical Low $117.49 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $117.49 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $46.77 | $52.48 | $52.48 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $100.00 | $128.82 | $128.82 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $46.77 | $52.48 | $52.48 |
Where Michigan sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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
$263
WI $776OR $182
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.