How much rates vary
Facilitymedian $7,943 · 10th to 90th $537 to $20,893Professionalmedian $204 · 10th to 90th $170 to $1,288
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 $199.53 Median $204.17 Typical High $6,918.31 | Facility | None | $199.53 | $204.17 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $208.93 | Professional | None (both parts) | $173.78 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $120.23 | $151.36 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $56.23 | Professional | TC · Technical part | $45.71 | $54.95 | $56.23 |
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 $173.78 Median $1,202.26 Typical High $1,288.25 | Professional | None (both parts) | $173.78 | $1,202.26 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $223.87 Typical High $275.42 | Professional | None (both parts) | $120.23 | $223.87 | $275.42 |
Health Alliance Plan Setting Facility Modifier None Typical Low $204.17 Median $501.19 Typical High $4,897.79 | Facility | None | $204.17 | $501.19 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $169.82 Median $204.17 Typical High $263.03 | Professional | None (both parts) | $169.82 | $204.17 | $263.03 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $151.36 Typical High $186.21 | Professional | 26 · Professional part | $125.89 | $151.36 | $186.21 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $70.79 | Professional | TC · Technical part | $45.71 | $54.95 | $70.79 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $120.23 | $223.87 | $269.15 |
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 $186.21 Median $204.17 Typical High $281.84 | Professional | None (both parts) | $186.21 | $204.17 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $144.54 Typical High $194.98 | Professional | 26 · Professional part | $131.83 | $144.54 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $87.10 | Professional | TC · Technical part | $52.48 | $63.10 | $87.10 |
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 $85.11 Median $102.33 Typical High $104.71 | Professional | 52 · Reduced service | $85.11 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $40.74 Typical High $41.69 | Professional | 53 · Discontinued | $33.88 | $40.74 | $41.69 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $93.33 | $102.33 | $102.33 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $37.15 | $41.69 | $41.69 |
Where Michigan sits
The same service costs 8.3 times more in Louisiana 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· 36th of 51
$224
LA $1,288HI $155
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.