How much rates vary
Facilitymedian $437 · 10th to 90th $138 to $708Professionalmedian $162 · 10th to 90th $129 to $204
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 $128.82 Median $134.90 Typical High $169.82 | Facility | None | $128.82 | $134.90 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $134.90 Typical High $177.83 | Professional | None (both parts) | $123.03 | $134.90 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.70 Typical High $33.11 | Professional | 26 · Professional part | $20.89 | $25.70 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $107.15 Typical High $141.25 | Professional | TC · Technical part | $102.33 | $107.15 | $141.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $134.90 | $169.82 | $169.82 |
BCBS Michigan Setting Facility Modifier None Typical Low $194.98 Median $457.09 Typical High $912.01 | Facility | None | $194.98 | $457.09 | $912.01 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $199.53 | Professional | None (both parts) | $151.36 | $186.21 | $199.53 |
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 $162.18 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $162.18 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $323.59 | Professional | None (both parts) | $112.20 | $154.88 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $25.12 Typical High $58.88 | Professional | 26 · Professional part | $16.60 | $25.12 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $281.84 | Professional | TC · Technical part | $93.33 | $134.90 | $281.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $138.04 Median $457.09 Typical High $549.54 | Facility | None | $138.04 | $457.09 | $549.54 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $169.82 Typical High $436.52 | Facility | TC · Technical part | $107.15 | $169.82 | $436.52 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $218.78 | Professional | None (both parts) | $134.90 | $162.18 | $218.78 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $22.39 Typical High $28.84 | Professional | 26 · Professional part | $15.49 | $22.39 | $28.84 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $147.91 Typical High $194.98 | Professional | TC · Technical part | $107.15 | $147.91 | $194.98 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $138.04 Typical High $269.15 | Professional | None (both parts) | $97.72 | $138.04 | $269.15 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $24.55 Typical High $41.69 | Professional | 26 · Professional part | $15.85 | $24.55 | $41.69 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $117.49 Typical High $245.47 | Professional | TC · Technical part | $91.20 | $117.49 | $245.47 |
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 $131.83 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $131.83 | $162.18 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.05 Typical High $30.90 | Professional | 26 · Professional part | $15.49 | $19.05 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $144.54 Typical High $169.82 | Professional | TC · Technical part | $107.15 | $144.54 | $169.82 |
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 $63.10 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $63.10 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $25.70 | $26.92 | $26.92 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
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· 22nd of 51
$162
AK $302UT $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.