How much rates vary
Facilitymedian $437 · 10th to 90th $145 to $776Professionalmedian $182 · 10th to 90th $138 to $245
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 $138.04 Median $144.54 Typical High $181.97 | Facility | None | $138.04 | $144.54 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $144.54 Typical High $194.98 | Professional | None (both parts) | $131.83 | $144.54 | $194.98 |
Aetna 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 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $120.23 Typical High $154.88 | Professional | TC · Technical part | $109.65 | $120.23 | $154.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $26.92 | $31.62 | $31.62 |
BCBS Michigan Setting Facility Modifier None Typical Low $234.42 Median $549.54 Typical High $1,096.48 | Facility | None | $234.42 | $549.54 | $1,096.48 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $229.09 | Professional | None (both parts) | $181.97 | $213.80 | $229.09 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $194.98 | $194.98 | $194.98 |
CareSource Setting Professional Modifier None (both parts) Typical Low $20.89 Median $123.03 Typical High $169.82 | Professional | None (both parts) | $20.89 | $123.03 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $177.83 Typical High $380.19 | Professional | None (both parts) | $125.89 | $177.83 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $26.30 Typical High $57.54 | Professional | 26 · Professional part | $18.62 | $26.30 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $331.13 | Professional | TC · Technical part | $107.15 | $158.49 | $331.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $147.91 Median $467.74 Typical High $741.31 | Facility | None | $147.91 | $467.74 | $741.31 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $25.70 Median $26.92 Typical High $58.88 | Facility | 26 · Professional part | $25.70 | $26.92 | $58.88 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $151.36 Typical High $537.03 | Facility | TC · Technical part | $120.23 | $151.36 | $537.03 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $263.03 | Professional | None (both parts) | $144.54 | $181.97 | $263.03 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.30 Typical High $33.88 | Professional | 26 · Professional part | $19.95 | $26.30 | $33.88 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $147.91 Typical High $239.88 | Professional | TC · Technical part | $117.49 | $147.91 | $239.88 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $158.49 Typical High $269.15 | Professional | None (both parts) | $109.65 | $158.49 | $269.15 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $41.69 | Professional | 26 · Professional part | $18.62 | $24.55 | $41.69 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $263.03 | Professional | TC · Technical part | $93.33 | $134.90 | $263.03 |
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 $151.36 Median $186.21 Typical High $229.09 | Professional | None (both parts) | $151.36 | $186.21 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.12 Typical High $31.62 | Professional | 26 · Professional part | $19.95 | $25.12 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $204.17 | Professional | TC · Technical part | $128.82 | $165.96 | $204.17 |
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 $69.18 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $69.18 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $29.51 | Professional | 53 · Discontinued | $27.54 | $28.84 | $29.51 |
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 3.7 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
$186
AK $355UT $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.