How much rates vary
Facilitymedian $661 · 10th to 90th $257 to $1,230Professionalmedian $302 · 10th to 90th $195 to $389
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 $245.47 Median $263.03 Typical High $323.59 | Facility | None | $245.47 | $263.03 | $323.59 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $223.87 Typical High $537.03 | Facility | TC · Technical part | $204.17 | $223.87 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $257.04 Typical High $331.13 | Professional | None (both parts) | $229.09 | $257.04 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $53.70 | Professional | 26 · Professional part | $33.88 | $41.69 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $218.78 Typical High $269.15 | Professional | TC · Technical part | $186.21 | $218.78 | $269.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $218.78 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $218.78 | $234.42 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $51.29 | Professional | 26 · Professional part | $30.90 | $36.31 | $51.29 |
BCBS Michigan Setting Facility Modifier None Typical Low $398.11 Median $933.25 Typical High $1,862.09 | Facility | None | $398.11 | $933.25 | $1,862.09 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $56.23 Median $363.08 Typical High $389.05 | Professional | None (both parts) | $56.23 | $363.08 | $389.05 |
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 $331.13 Median $331.13 Typical High $331.13 | Professional | TC · Technical part | $331.13 | $331.13 | $331.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $204.17 Typical High $288.40 | Professional | None (both parts) | $34.67 | $204.17 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $295.12 Typical High $630.96 | Professional | None (both parts) | $194.98 | $295.12 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $95.50 | Professional | 26 · Professional part | $29.51 | $41.69 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $257.04 Typical High $562.34 | Professional | TC · Technical part | $181.97 | $257.04 | $562.34 |
Health Alliance Plan Setting Facility Modifier None Typical Low $245.47 Median $660.69 Typical High $1,071.52 | Facility | None | $245.47 | $660.69 | $1,071.52 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $83.18 | Facility | 26 · Professional part | $41.69 | $43.65 | $83.18 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $269.15 Typical High $812.83 | Facility | TC · Technical part | $218.78 | $269.15 | $812.83 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $407.38 | Professional | None (both parts) | $245.47 | $309.03 | $407.38 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $53.70 | Professional | 26 · Professional part | $28.18 | $39.81 | $53.70 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $208.93 | $263.03 | $371.54 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $263.03 Typical High $446.68 | Professional | None (both parts) | $190.55 | $263.03 | $446.68 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $40.74 Typical High $66.07 | Professional | 26 · Professional part | $29.51 | $40.74 | $66.07 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $223.87 Typical High $407.38 | Professional | TC · Technical part | $158.49 | $223.87 | $407.38 |
United Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $676.08 | Facility | None | $245.47 | $323.59 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $302.00 Typical High $363.08 | Professional | None (both parts) | $251.19 | $302.00 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $50.12 | Professional | 26 · Professional part | $28.84 | $38.02 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $269.15 Typical High $323.59 | Professional | TC · Technical part | $218.78 | $269.15 | $323.59 |
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 $123.03 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $123.03 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $51.29 Typical High $52.48 | Professional | 53 · Discontinued | $48.98 | $51.29 | $52.48 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $53.70 | $53.70 | $53.70 |
Where Michigan sits
The same service costs 3.2 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· 21st of 51
$302
AK $603UT $191
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.