How much rates vary
Facilitymedian $562 · 10th to 90th $170 to $1,023Professionalmedian $209 · 10th to 90th $148 to $282
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 $151.36 Median $151.36 Typical High $162.18 | Facility | None | $151.36 | $151.36 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $158.49 Typical High $165.96 | Professional | None (both parts) | $120.23 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $42.66 | Professional | 26 · Professional part | $32.36 | $39.81 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $120.23 Typical High $125.89 | Professional | TC · Technical part | $85.11 | $120.23 | $125.89 |
BCBS Michigan Setting Facility Modifier None Typical Low $263.03 Median $630.96 Typical High $1,230.27 | Facility | None | $263.03 | $630.96 | $1,230.27 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $194.98 Median $263.03 Typical High $281.84 | Professional | None (both parts) | $194.98 | $263.03 | $281.84 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $223.87 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $416.87 | Professional | None (both parts) | $134.90 | $194.98 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $34.67 Typical High $72.44 | Professional | 26 · Professional part | $22.91 | $34.67 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $165.96 Typical High $354.81 | Professional | TC · Technical part | $114.82 | $165.96 | $354.81 |
Health Alliance Plan Setting Facility Modifier None Typical Low $147.91 Median $575.44 Typical High $616.60 | Facility | None | $147.91 | $575.44 | $616.60 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $147.91 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $147.91 | $208.93 | $281.84 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $29.51 | $32.36 | $43.65 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $181.97 Typical High $239.88 | Professional | TC · Technical part | $117.49 | $181.97 | $239.88 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $363.08 | Professional | None (both parts) | $125.89 | $173.78 | $363.08 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.88 Typical High $53.70 | Professional | 26 · Professional part | $22.91 | $33.88 | $53.70 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $141.25 Typical High $309.03 | Professional | TC · Technical part | $104.71 | $141.25 | $309.03 |
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 $158.49 Median $204.17 Typical High $245.47 | Professional | None (both parts) | $158.49 | $204.17 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $39.81 | Professional | 26 · Professional part | $26.92 | $33.11 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $169.82 Typical High $208.93 | Professional | TC · Technical part | $134.90 | $169.82 | $208.93 |
5 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 $75.86 Median $79.43 Typical High $81.28 | Professional | 52 · Reduced service | $75.86 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $31.62 Typical High $32.36 | Professional | 53 · Discontinued | $30.20 | $31.62 | $32.36 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 59 · Distinct service | $141.25 | $141.25 | $141.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Where Michigan sits
The same service costs 3.5 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· 18th of 51
$209
AK $407UT $117
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.