How much rates vary
Facilitymedian $7,943 · 10th to 90th $550 to $20,893Professionalmedian $251 · 10th to 90th $178 to $1,202
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 $239.88 Median $4,897.79 Typical High $6,918.31 | Facility | None | $239.88 | $4,897.79 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $251.19 | Professional | None (both parts) | $199.53 | $245.47 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $151.36 Typical High $154.88 | Professional | 26 · Professional part | $120.23 | $151.36 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $97.72 | Professional | TC · Technical part | $79.43 | $93.33 | $97.72 |
BCBS Michigan Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $26,302.68 | Facility | None | $7,943.28 | $7,943.28 | $26,302.68 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $47.86 Median $177.83 Typical High $1,288.25 | Professional | None (both parts) | $47.86 | $177.83 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $144.54 | $275.42 | $323.59 |
Health Alliance Plan Setting Facility Modifier None Typical Low $251.19 Median $602.56 Typical High $6,918.31 | Facility | None | $251.19 | $602.56 | $6,918.31 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $204.17 Median $251.19 Typical High $309.03 | Professional | None (both parts) | $204.17 | $251.19 | $309.03 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $154.88 Typical High $190.55 | Professional | 26 · Professional part | $125.89 | $154.88 | $190.55 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $120.23 | Professional | TC · Technical part | $79.43 | $95.50 | $120.23 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $269.15 Typical High $323.59 | Professional | None (both parts) | $144.54 | $269.15 | $323.59 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $8,317.64 | Facility | None | $426.58 | $602.56 | $8,317.64 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $251.19 Typical High $338.84 | Professional | None (both parts) | $229.09 | $251.19 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $144.54 Typical High $199.53 | Professional | 26 · Professional part | $131.83 | $144.54 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $107.15 Typical High $141.25 | Professional | TC · Technical part | $93.33 | $107.15 | $141.25 |
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 $102.33 Median $123.03 Typical High $125.89 | Professional | 52 · Reduced service | $102.33 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $48.98 Typical High $50.12 | Professional | 53 · Discontinued | $40.74 | $48.98 | $50.12 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $112.20 | $125.89 | $125.89 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $45.71 | $50.12 | $50.12 |
Where Michigan sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 39th of 51
$263
OK $4,786HI $158
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.