How much rates vary
Facilitymedian $100 · 10th to 90th $100 to $447Professionalmedian $155 · 10th to 90th $115 to $224
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 $138.04 Median $138.04 Typical High $141.25 | Facility | None | $138.04 | $138.04 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $138.04 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $66.07 | $69.18 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $93.33 | Professional | TC · Technical part | $69.18 | $74.13 | $93.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
BCBS Michigan Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $323.59 | Facility | None | $100.00 | $100.00 | $323.59 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $107.15 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $107.15 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $213.80 Typical High $245.47 | Professional | None (both parts) | $83.18 | $213.80 | $245.47 |
Health Alliance Plan Setting Facility Modifier None Typical Low $141.25 Median $416.87 Typical High $457.09 | Facility | None | $141.25 | $416.87 | $457.09 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $213.80 | Professional | None (both parts) | $141.25 | $154.88 | $213.80 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $77.62 Typical High $112.20 | Professional | 26 · Professional part | $69.18 | $77.62 | $112.20 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $87.10 Typical High $117.49 | Professional | TC · Technical part | $72.44 | $87.10 | $117.49 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $158.49 Typical High $245.47 | Professional | None (both parts) | $83.18 | $158.49 | $245.47 |
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 $165.96 Median $199.53 Typical High $263.03 | Professional | None (both parts) | $165.96 | $199.53 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $87.10 Typical High $120.23 | Professional | 26 · Professional part | $60.26 | $87.10 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $158.49 | Professional | TC · Technical part | $95.50 | $114.82 | $158.49 |
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 $64.57 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $64.57 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $26.30 | $28.84 | $28.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $57.54 | $70.79 | $70.79 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Where Michigan sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 46th of 51
$145
WI $417VA $110
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.