How much rates vary
Facilitymedian $589 · 10th to 90th $214 to $1,072Professionalmedian $251 · 10th to 90th $182 to $316
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 $190.55 Median $204.17 Typical High $218.78 | Facility | None | $190.55 | $204.17 | $218.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $37.15 Typical High $40.74 | Facility | 26 · Professional part | $35.48 | $37.15 | $40.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $165.96 Typical High $407.38 | Facility | TC · Technical part | $154.88 | $165.96 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $204.17 Typical High $295.12 | Professional | None (both parts) | $190.55 | $204.17 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $36.31 Typical High $50.12 | Professional | 26 · Professional part | $33.88 | $36.31 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $165.96 Typical High $229.09 | Professional | TC · Technical part | $154.88 | $165.96 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $181.97 Typical High $257.04 | Professional | None (both parts) | $169.82 | $181.97 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $31.62 | $33.11 | $50.12 |
BCBS Michigan Setting Facility Modifier None Typical Low $302.00 Median $707.95 Typical High $1,412.54 | Facility | None | $302.00 | $707.95 | $1,412.54 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $58.88 Median $281.84 Typical High $302.00 | Professional | None (both parts) | $58.88 | $281.84 | $302.00 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $251.19 | $251.19 | $251.19 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.20 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $30.20 | $158.49 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $229.09 Typical High $501.19 | Professional | None (both parts) | $162.18 | $229.09 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $83.18 | Professional | 26 · Professional part | $26.92 | $38.90 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $204.17 Typical High $426.58 | Professional | TC · Technical part | $138.04 | $204.17 | $426.58 |
Health Alliance Plan Setting Facility Modifier None Typical Low $218.78 Median $616.60 Typical High $1,071.52 | Facility | None | $218.78 | $616.60 | $1,071.52 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $100.00 | Facility | 26 · Professional part | $35.48 | $38.02 | $100.00 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $407.38 Typical High $794.33 | Facility | TC · Technical part | $165.96 | $407.38 | $794.33 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $346.74 | Professional | None (both parts) | $199.53 | $251.19 | $346.74 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $33.88 | $38.90 | $58.88 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $208.93 Typical High $288.40 | Professional | TC · Technical part | $165.96 | $208.93 | $288.40 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $204.17 Typical High $346.74 | Professional | None (both parts) | $144.54 | $204.17 | $346.74 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $37.15 Typical High $58.88 | Professional | 26 · Professional part | $26.30 | $37.15 | $58.88 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $177.83 Typical High $316.23 | Professional | TC · Technical part | $120.23 | $177.83 | $316.23 |
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 $199.53 Median $245.47 Typical High $295.12 | Professional | None (both parts) | $199.53 | $245.47 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $45.71 | Professional | 26 · Professional part | $33.88 | $38.02 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $208.93 Typical High $251.19 | Professional | TC · Technical part | $162.18 | $208.93 | $251.19 |
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 $95.50 Median $100.00 Typical High $102.33 | Professional | 52 · Reduced service | $95.50 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $38.02 | $40.74 | $40.74 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $107.15 | $107.15 | $107.15 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Where Michigan sits
The same service costs 3.5 times more in Minnesota 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· 19th of 51
$251
MN $550UT $158
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.