How much rates vary
Facilitymedian $316 · 10th to 90th $141 to $676Professionalmedian $174 · 10th to 90th $132 to $219
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 $134.90 Median $144.54 Typical High $177.83 | Facility | None | $134.90 | $144.54 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $134.90 | $141.25 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $24.55 Typical High $31.62 | Professional | 26 · Professional part | $22.39 | $24.55 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $117.49 Typical High $177.83 | Professional | TC · Technical part | $112.20 | $117.49 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $123.03 | $131.83 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $31.62 | Professional | 26 · Professional part | $22.39 | $22.39 | $31.62 |
BCBS Michigan Setting Facility Modifier None Typical Low $223.87 Median $524.81 Typical High $1,047.13 | Facility | None | $223.87 | $524.81 | $1,047.13 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $44.67 Median $204.17 Typical High $218.78 | Professional | None (both parts) | $44.67 | $204.17 | $218.78 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $186.21 | $186.21 | $186.21 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.50 Median $112.20 Typical High $158.49 | Professional | None (both parts) | $19.50 | $112.20 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $158.49 Typical High $338.84 | Professional | None (both parts) | $107.15 | $158.49 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.70 Typical High $54.95 | Professional | 26 · Professional part | $17.38 | $25.70 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $288.40 | Professional | TC · Technical part | $97.72 | $138.04 | $288.40 |
Health Alliance Plan Setting Facility Modifier None Typical Low $141.25 Median $281.84 Typical High $588.84 | Facility | None | $141.25 | $281.84 | $588.84 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $25.70 Typical High $66.07 | Facility | 26 · Professional part | $24.55 | $25.70 | $66.07 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $147.91 Typical High $398.11 | Facility | TC · Technical part | $117.49 | $147.91 | $398.11 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $144.54 | $154.88 | $218.78 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $33.11 | Professional | 26 · Professional part | $22.39 | $25.70 | $33.11 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $117.49 | $134.90 | $190.55 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $104.71 | $144.54 | $245.47 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $16.98 | $23.99 | $38.02 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $229.09 | Professional | TC · Technical part | $87.10 | $123.03 | $229.09 |
United Setting Facility Modifier None Typical Low $223.87 Median $288.40 Typical High $602.56 | Facility | None | $223.87 | $288.40 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $208.93 | Professional | None (both parts) | $134.90 | $169.82 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.12 Typical High $29.51 | Professional | 26 · Professional part | $22.39 | $25.12 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $181.97 | Professional | TC · Technical part | $112.20 | $141.25 | $181.97 |
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 $67.61 Median $70.79 Typical High $72.44 | Professional | 52 · Reduced service | $67.61 | $70.79 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $26.92 | $28.84 | $28.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
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· 24th of 51
$174
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.