How much rates vary
Facilitymedian $1,738 · 10th to 90th $95 to $6,310Professionalmedian $331 · 10th to 90th $95 to $1,622
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 $91.20 Median $97.72 Typical High $4,897.79 | Facility | None | $91.20 | $97.72 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $95.50 Typical High $229.09 | Professional | None (both parts) | $91.20 | $95.50 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $72.44 Typical High $165.96 | Professional | 26 · Professional part | $69.18 | $72.44 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $22.91 Typical High $57.54 | Professional | TC · Technical part | $21.38 | $22.91 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $52.48 | $56.23 | $56.23 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,862.09 Median $4,677.35 Typical High $9,120.11 | Facility | None | $1,862.09 | $4,677.35 | $9,120.11 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $331.13 Median $1,621.81 Typical High $1,621.81 | Professional | None (both parts) | $331.13 | $1,621.81 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $288.40 Typical High $354.81 | Professional | None (both parts) | $79.43 | $288.40 | $354.81 |
Health Alliance Plan Setting Facility Modifier None Typical Low $100.00 Median $3,090.30 Typical High $5,248.07 | Facility | None | $100.00 | $3,090.30 | $5,248.07 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $100.00 Median $229.09 Typical High $512.86 | Professional | None (both parts) | $100.00 | $229.09 | $512.86 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $165.96 Typical High $239.88 | Professional | 26 · Professional part | $69.18 | $165.96 | $239.88 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $56.23 Typical High $295.12 | Professional | TC · Technical part | $23.99 | $56.23 | $295.12 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $288.40 Typical High $346.74 | Professional | None (both parts) | $79.43 | $288.40 | $346.74 |
United Setting Facility Modifier None Typical Low $89.13 Median $177.83 Typical High $1,445.44 | Facility | None | $89.13 | $177.83 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $489.78 Typical High $676.08 | Professional | None (both parts) | $338.84 | $489.78 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $190.55 Typical High $269.15 | Professional | 26 · Professional part | $165.96 | $190.55 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $295.12 Typical High $398.11 | Professional | TC · Technical part | $151.36 | $295.12 | $398.11 |
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 $45.71 Median $47.86 Typical High $87.10 | Professional | 52 · Reduced service | $45.71 | $47.86 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.05 Typical High $34.67 | Professional | 53 · Discontinued | $18.20 | $19.05 | $34.67 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $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 4.8 times more in Nebraska than in South Carolina. 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· 20th of 51
$331
NE $724SC $151
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.