How much rates vary
Facilitymedian $257 · 10th to 90th $123 to $513Professionalmedian $178 · 10th to 90th $126 to $219
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 $162.18 | Facility | None | $123.03 | $131.83 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $218.78 | Professional | None (both parts) | $123.03 | $128.82 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $83.18 | Professional | 26 · Professional part | $64.57 | $64.57 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $63.10 Typical High $125.89 | Professional | TC · Technical part | $60.26 | $63.10 | $125.89 |
BCBS Michigan Setting Facility Modifier None Typical Low $120.23 Median $288.40 Typical High $562.34 | Facility | None | $120.23 | $288.40 | $562.34 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $199.53 | Professional | None (both parts) | $147.91 | $186.21 | $199.53 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $97.72 | $97.72 | $97.72 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $97.72 | $158.49 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $151.36 | Professional | 26 · Professional part | $48.98 | $70.79 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $83.18 Typical High $186.21 | Professional | TC · Technical part | $52.48 | $83.18 | $186.21 |
Health Alliance Plan Setting Facility Modifier None Typical Low $144.54 Median $416.87 Typical High $501.19 | Facility | None | $144.54 | $416.87 | $501.19 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $223.87 | Professional | None (both parts) | $131.83 | $169.82 | $223.87 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $89.13 | Professional | 26 · Professional part | $61.66 | $69.18 | $89.13 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $107.15 Typical High $144.54 | Professional | TC · Technical part | $63.10 | $107.15 | $144.54 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $138.04 Typical High $269.15 | Professional | None (both parts) | $91.20 | $138.04 | $269.15 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $66.07 Typical High $104.71 | Professional | 26 · Professional part | $44.67 | $66.07 | $104.71 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $70.79 Typical High $173.78 | Professional | TC · Technical part | $46.77 | $70.79 | $173.78 |
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 $125.89 Median $173.78 Typical High $213.80 | Professional | None (both parts) | $125.89 | $173.78 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $81.28 | Professional | 26 · Professional part | $61.66 | $69.18 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $91.20 Typical High $134.90 | Professional | TC · Technical part | $61.66 | $91.20 | $134.90 |
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 $61.66 Median $64.57 Typical High $66.07 | Professional | 52 · Reduced service | $61.66 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.70 Typical High $26.30 | Professional | 53 · Discontinued | $25.12 | $25.70 | $26.30 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
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 |
Where Michigan sits
The same service costs 4.6 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· 16th of 51
$178
AK $316UT $69.18
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.