How much rates vary
Facilitymedian $347 · 10th to 90th $135 to $741Professionalmedian $166 · 10th to 90th $110 to $224
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 $128.82 Median $134.90 Typical High $169.82 | Facility | None | $128.82 | $134.90 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $134.90 Typical High $229.09 | Professional | None (both parts) | $128.82 | $134.90 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $30.20 | Professional | 26 · Professional part | $22.91 | $26.30 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $107.15 Typical High $169.82 | Professional | TC · Technical part | $102.33 | $107.15 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $120.23 | Professional | None (both parts) | $95.50 | $112.20 | $120.23 |
BCBS Michigan Setting Facility Modifier None Typical Low $199.53 Median $467.74 Typical High $933.25 | Facility | None | $199.53 | $467.74 | $933.25 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $36.31 Median $190.55 Typical High $204.17 | Professional | None (both parts) | $36.31 | $190.55 | $204.17 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $165.96 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $154.88 Typical High $331.13 | Professional | None (both parts) | $104.71 | $154.88 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.92 Typical High $61.66 | Professional | 26 · Professional part | $19.50 | $26.92 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $134.90 Typical High $281.84 | Professional | TC · Technical part | $91.20 | $134.90 | $281.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $141.25 Median $331.13 Typical High $575.44 | Facility | None | $141.25 | $331.13 | $575.44 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $229.09 | Professional | None (both parts) | $141.25 | $173.78 | $229.09 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $31.62 | Professional | 26 · Professional part | $20.42 | $26.92 | $31.62 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $151.36 Typical High $204.17 | Professional | TC · Technical part | $112.20 | $151.36 | $204.17 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $141.25 Typical High $275.42 | Professional | None (both parts) | $95.50 | $141.25 | $275.42 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.12 Typical High $43.65 | Professional | 26 · Professional part | $19.05 | $25.12 | $43.65 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $245.47 | Professional | TC · Technical part | $81.28 | $114.82 | $245.47 |
United Setting Facility Modifier None Typical Low $107.15 Median $141.25 Typical High $295.12 | Facility | None | $107.15 | $141.25 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $194.98 | Professional | None (both parts) | $131.83 | $158.49 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $31.62 | Professional | 26 · Professional part | $20.42 | $24.55 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $138.04 Typical High $169.82 | Professional | TC · Technical part | $104.71 | $138.04 | $169.82 |
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 $64.57 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $64.57 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $25.70 | $26.92 | $26.92 |
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 3.3 times more in Alaska 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· 25th of 51
$166
AK $316UT $95.50
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.