How much rates vary
Facilitymedian $1,380 · 10th to 90th $427 to $29,512Professionalmedian $282 · 10th to 90th $234 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 $269.15 Median $275.42 Typical High $6,918.31 | Facility | None | $269.15 | $275.42 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $281.84 | Professional | None (both parts) | $229.09 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $169.82 | $213.80 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $67.61 | Professional | TC · Technical part | $54.95 | $66.07 | $67.61 |
BCBS Michigan Setting Facility Modifier None Typical Low $8,912.51 Median $22,387.21 Typical High $44,668.36 | Facility | None | $8,912.51 | $22,387.21 | $44,668.36 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $239.88 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $239.88 | $1,288.25 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $302.00 Typical High $371.54 | Professional | None (both parts) | $162.18 | $302.00 | $371.54 |
Health Alliance Plan Setting Facility Modifier None Typical Low $281.84 Median $676.08 Typical High $4,897.79 | Facility | None | $281.84 | $676.08 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $234.42 Median $281.84 Typical High $354.81 | Professional | None (both parts) | $234.42 | $281.84 | $354.81 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $213.80 Typical High $263.03 | Professional | 26 · Professional part | $177.83 | $213.80 | $263.03 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $85.11 | Professional | TC · Technical part | $56.23 | $66.07 | $85.11 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $302.00 Typical High $363.08 | Professional | None (both parts) | $162.18 | $302.00 | $363.08 |
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 $245.47 Median $281.84 Typical High $389.05 | Professional | None (both parts) | $245.47 | $281.84 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $208.93 Typical High $275.42 | Professional | 26 · Professional part | $186.21 | $208.93 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $109.65 | Professional | TC · Technical part | $63.10 | $79.43 | $109.65 |
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 $114.82 Median $138.04 Typical High $141.25 | Professional | 52 · Reduced service | $114.82 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $45.71 | $56.23 | $56.23 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $125.89 | $141.25 | $141.25 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $50.12 | $56.23 | $56.23 |
Where Michigan sits
The same service costs 5.9 times more in Louisiana than in Alabama. 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· 40th of 51
$288
LA $1,288AL $219
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.