How much rates vary
Facilitymedian $525 · 10th to 90th $178 to $1,047Professionalmedian $219 · 10th to 90th $174 to $275
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 $165.96 Median $177.83 Typical High $218.78 | Facility | None | $165.96 | $177.83 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $173.78 Typical High $316.23 | Professional | None (both parts) | $165.96 | $173.78 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.92 Typical High $34.67 | Professional | 26 · Professional part | $25.12 | $26.92 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $147.91 Typical High $257.04 | Professional | TC · Technical part | $138.04 | $147.91 | $257.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $25.12 | $25.12 | $25.12 |
BCBS Michigan Setting Facility Modifier None Typical Low $281.84 Median $660.69 Typical High $1,318.26 | Facility | None | $281.84 | $660.69 | $1,318.26 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $218.78 Median $245.47 Typical High $275.42 | Professional | None (both parts) | $218.78 | $245.47 | $275.42 |
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 $234.42 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $234.42 | $234.42 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $199.53 Typical High $416.87 | Professional | None (both parts) | $134.90 | $199.53 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $28.84 Typical High $60.26 | Professional | 26 · Professional part | $19.05 | $28.84 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $173.78 Typical High $371.54 | Professional | TC · Technical part | $123.03 | $173.78 | $371.54 |
Health Alliance Plan Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $630.96 | Facility | None | $177.83 | $524.81 | $630.96 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $177.83 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $177.83 | $194.98 | $275.42 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $36.31 | Professional | 26 · Professional part | $25.12 | $28.18 | $36.31 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $169.82 Typical High $245.47 | Professional | TC · Technical part | $147.91 | $169.82 | $245.47 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $302.00 | Professional | None (both parts) | $131.83 | $177.83 | $302.00 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.92 Typical High $42.66 | Professional | 26 · Professional part | $19.05 | $26.92 | $42.66 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $154.88 Typical High $288.40 | Professional | TC · Technical part | $114.82 | $154.88 | $288.40 |
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 $165.96 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $165.96 | $208.93 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $32.36 | Professional | 26 · Professional part | $25.12 | $28.18 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $181.97 Typical High $223.87 | Professional | TC · Technical part | $141.25 | $181.97 | $223.87 |
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 $83.18 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $83.18 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $34.67 Typical High $35.48 | Professional | 53 · Discontinued | $33.11 | $34.67 | $35.48 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $89.13 | $89.13 | $89.13 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $35.48 | $35.48 | $35.48 |
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· 22nd of 51
$219
AK $417UT $126
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.