How much rates vary
Facilitymedian $275 · 10th to 90th $117 to $741Professionalmedian $331 · 10th to 90th $98 to $427
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 $302.00 Median $302.00 Typical High $323.59 | Facility | None | $302.00 | $302.00 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $309.03 Typical High $323.59 | Professional | None (both parts) | $302.00 | $309.03 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $269.15 | Professional | 26 · Professional part | $257.04 | $257.04 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $47.86 | $50.12 | $50.12 |
BCBS Michigan Setting Facility Modifier None Typical Low $97.72 Median $229.09 Typical High $426.58 | Facility | None | $97.72 | $229.09 | $426.58 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $72.44 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $72.44 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $416.87 Typical High $912.01 | Professional | None (both parts) | $323.59 | $416.87 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $331.13 Typical High $758.58 | Professional | 26 · Professional part | $257.04 | $331.13 | $758.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $60.26 Typical High $190.55 | Professional | TC · Technical part | $34.67 | $60.26 | $190.55 |
Health Alliance Plan Setting Facility Modifier None Typical Low $331.13 Median $741.31 Typical High $812.83 | Facility | None | $331.13 | $741.31 | $812.83 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $275.42 Median $331.13 Typical High $363.08 | Professional | None (both parts) | $275.42 | $331.13 | $363.08 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $275.42 Typical High $316.23 | Professional | 26 · Professional part | $239.88 | $275.42 | $316.23 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $36.31 | $51.29 | $51.29 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $380.19 Typical High $831.76 | Professional | None (both parts) | $295.12 | $380.19 | $831.76 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $316.23 Typical High $676.08 | Professional | 26 · Professional part | $257.04 | $316.23 | $676.08 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $47.86 Typical High $141.25 | Professional | TC · Technical part | $34.67 | $47.86 | $141.25 |
United Setting Facility Modifier None Typical Low $316.23 Median $407.38 Typical High $870.96 | Facility | None | $316.23 | $407.38 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $323.59 Typical High $389.05 | Professional | None (both parts) | $281.84 | $323.59 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $275.42 Typical High $316.23 | Professional | 26 · Professional part | $239.88 | $275.42 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $42.66 Typical High $79.43 | Professional | TC · Technical part | $30.90 | $42.66 | $79.43 |
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 $151.36 Median $154.88 Typical High $158.49 | Professional | 52 · Reduced service | $151.36 | $154.88 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $61.66 Typical High $64.57 | Professional | 53 · Discontinued | $60.26 | $61.66 | $64.57 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Where Michigan sits
The same service costs 3.3 times more in Minnesota than in Utah. 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· 33rd of 51
$331
MN $661UT $200
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.