How much rates vary
Facilitymedian $4,467 · 10th to 90th $912 to $28,840Professionalmedian $871 · 10th to 90th $575 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 $831.76 Median $1,380.38 Typical High $6,918.31 | Facility | None | $831.76 | $1,380.38 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $776.25 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $407.38 | $512.86 | $512.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $316.23 | $363.08 | $363.08 |
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 $575.44 Median $575.44 Typical High $1,348.96 | Professional | None (both parts) | $575.44 | $575.44 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $1,000.00 Typical High $1,174.90 | Professional | None (both parts) | $501.19 | $1,000.00 | $1,174.90 |
Health Alliance Plan Setting Facility Modifier None Typical Low $912.01 Median $4,466.84 Typical High $6,918.31 | Facility | None | $912.01 | $4,466.84 | $6,918.31 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $741.31 Median $870.96 Typical High $1,148.15 | Professional | None (both parts) | $741.31 | $870.96 | $1,148.15 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $512.86 Typical High $645.65 | Professional | 26 · Professional part | $436.52 | $512.86 | $645.65 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $354.81 Typical High $478.63 | Professional | TC · Technical part | $309.03 | $354.81 | $478.63 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $933.25 Typical High $1,174.90 | Professional | None (both parts) | $501.19 | $933.25 | $1,174.90 |
United Setting Facility Modifier None Typical Low $891.25 Median $2,818.38 Typical High $10,471.29 | Facility | None | $891.25 | $2,818.38 | $10,471.29 |
United Setting Professional Modifier None (both parts) Typical Low $812.83 Median $912.01 Typical High $1,258.93 | Professional | None (both parts) | $812.83 | $912.01 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $501.19 Typical High $660.69 | Professional | 26 · Professional part | $446.68 | $501.19 | $660.69 |
United Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $416.87 Typical High $588.84 | Professional | TC · Technical part | $371.54 | $416.87 | $588.84 |
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 $354.81 Median $426.58 Typical High $436.52 | Professional | 52 · Reduced service | $354.81 | $426.58 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $169.82 Typical High $173.78 | Professional | 53 · Discontinued | $141.25 | $169.82 | $173.78 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $389.05 | $436.52 | $436.52 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $158.49 | $173.78 | $173.78 |
Where Michigan sits
The same service costs 7.1 times more in Texas 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· 40th of 51
$891
TX $3,981HI $562
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.