How much rates vary
Facilitymedian $468 · 10th to 90th $129 to $776Professionalmedian $151 · 10th to 90th $107 to $195
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 $123.03 Median $131.83 Typical High $138.04 | Facility | None | $123.03 | $131.83 | $138.04 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $25.70 | Facility | 26 · Professional part | $22.91 | $23.99 | $25.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $107.15 Typical High $165.96 | Facility | TC · Technical part | $100.00 | $107.15 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $186.21 | Professional | None (both parts) | $123.03 | $128.82 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $32.36 | Professional | 26 · Professional part | $21.38 | $23.44 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $104.71 Typical High $138.04 | Professional | TC · Technical part | $100.00 | $104.71 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $107.15 | $107.15 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.89 Typical High $30.20 | Professional | 26 · Professional part | $19.95 | $20.89 | $30.20 |
BCBS Michigan Setting Facility Modifier None Typical Low $190.55 Median $446.68 Typical High $891.25 | Facility | None | $190.55 | $446.68 | $891.25 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $31.62 Median $177.83 Typical High $190.55 | Professional | None (both parts) | $31.62 | $177.83 | $190.55 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $33.88 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $158.49 | $158.49 | $158.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.50 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $19.50 | $102.33 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $154.88 Typical High $323.59 | Professional | None (both parts) | $97.72 | $154.88 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $25.12 Typical High $54.95 | Professional | 26 · Professional part | $16.98 | $25.12 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $128.82 Typical High $275.42 | Professional | TC · Technical part | $87.10 | $128.82 | $275.42 |
Health Alliance Plan Setting Facility Modifier None Typical Low $128.82 Median $478.63 Typical High $776.25 | Facility | None | $128.82 | $478.63 | $776.25 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $22.91 Median $24.55 Typical High $64.57 | Facility | 26 · Professional part | $22.91 | $24.55 | $64.57 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $645.65 | Facility | TC · Technical part | $100.00 | $131.83 | $645.65 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $213.80 | Professional | None (both parts) | $123.03 | $147.91 | $213.80 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $43.65 | Professional | 26 · Professional part | $21.88 | $25.12 | $43.65 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $128.82 Typical High $169.82 | Professional | TC · Technical part | $104.71 | $128.82 | $169.82 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $138.04 Typical High $223.87 | Professional | None (both parts) | $91.20 | $138.04 | $223.87 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $23.99 Typical High $38.90 | Professional | 26 · Professional part | $16.60 | $23.99 | $38.90 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $117.49 Typical High $213.80 | Professional | TC · Technical part | $75.86 | $117.49 | $213.80 |
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 $123.03 Median $158.49 Typical High $190.55 | Professional | None (both parts) | $123.03 | $158.49 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $28.84 | Professional | 26 · Professional part | $21.88 | $25.12 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $162.18 | Professional | TC · Technical part | $102.33 | $134.90 | $162.18 |
5 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 $61.66 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $61.66 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.70 Typical High $26.30 | Professional | 53 · Discontinued | $24.55 | $25.70 | $26.30 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Health Alliance Plan Setting Professional Modifier 59 · Distinct service Typical Low $57.54 Median $83.18 Typical High $194.98 | Professional | 59 · Distinct service | $57.54 | $83.18 | $194.98 |
Where Michigan sits
The same service costs 4.0 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· 22nd of 51
$151
MN $380UT $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.