How much rates vary
Facilitymedian $234 · 10th to 90th $93 to $490Professionalmedian $110 · 10th to 90th $85 to $138
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 $85.11 Median $91.20 Typical High $100.00 | Facility | None | $85.11 | $91.20 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $89.13 Typical High $147.91 | Professional | None (both parts) | $85.11 | $89.13 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.49 Typical High $17.78 | Professional | 26 · Professional part | $12.02 | $13.49 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $75.86 Typical High $125.89 | Professional | TC · Technical part | $72.44 | $75.86 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $66.07 | $114.82 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $16.60 | Professional | 26 · Professional part | $9.77 | $11.48 | $16.60 |
BCBS Michigan Setting Facility Modifier None Typical Low $141.25 Median $338.84 Typical High $660.69 | Facility | None | $141.25 | $338.84 | $660.69 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $138.04 | Professional | None (both parts) | $104.71 | $128.82 | $138.04 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 26 · Professional part | $19.50 | $19.50 | $19.50 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $117.49 | $117.49 | $117.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.96 Median $70.79 Typical High $100.00 | Professional | None (both parts) | $10.96 | $70.79 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $102.33 Typical High $218.78 | Professional | None (both parts) | $69.18 | $102.33 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $14.13 Typical High $30.90 | Professional | 26 · Professional part | $9.77 | $14.13 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $190.55 | Professional | TC · Technical part | $63.10 | $91.20 | $190.55 |
Health Alliance Plan Setting Facility Modifier None Typical Low $109.65 Median $234.42 Typical High $478.63 | Facility | None | $109.65 | $234.42 | $478.63 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $14.45 Typical High $34.67 | Facility | 26 · Professional part | $13.49 | $14.45 | $34.67 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $257.04 | Facility | TC · Technical part | $75.86 | $95.50 | $257.04 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $89.13 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $89.13 | $100.00 | $144.54 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.45 Typical High $18.20 | Professional | 26 · Professional part | $11.75 | $14.45 | $18.20 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $89.13 Typical High $125.89 | Professional | TC · Technical part | $77.62 | $89.13 | $125.89 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $91.20 Typical High $154.88 | Professional | None (both parts) | $67.61 | $91.20 | $154.88 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.80 Typical High $21.88 | Professional | 26 · Professional part | $9.55 | $13.80 | $21.88 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $81.28 Typical High $151.36 | Professional | TC · Technical part | $54.95 | $81.28 | $151.36 |
United Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $371.54 | Facility | None | $138.04 | $177.83 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $134.90 | Professional | None (both parts) | $87.10 | $109.65 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.80 Typical High $16.60 | Professional | 26 · Professional part | $12.30 | $13.80 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $95.50 Typical High $120.23 | Professional | TC · Technical part | $74.13 | $95.50 | $120.23 |
7 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 $42.66 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $42.66 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $17.78 Typical High $18.20 | Professional | 53 · Discontinued | $16.98 | $17.78 | $18.20 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $19.50 | $19.50 | $19.50 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 59 · Distinct service | $77.62 | $77.62 | $77.62 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | XS · Separate structure | $81.28 | $81.28 | $81.28 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
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· 23rd of 51
$110
AK $209UT $63.10
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.