How much rates vary
Facilitymedian $759 · 10th to 90th $282 to $1,585Professionalmedian $302 · 10th to 90th $257 to $407
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 $257.04 Median $257.04 Typical High $269.15 | Facility | None | $257.04 | $257.04 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $269.15 Typical High $363.08 | Professional | None (both parts) | $257.04 | $269.15 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $47.86 | Professional | 26 · Professional part | $38.02 | $44.67 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $223.87 Typical High $275.42 | Professional | TC · Technical part | $213.80 | $223.87 | $275.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $223.87 | $446.68 | $446.68 |
BCBS Michigan Setting Facility Modifier None Typical Low $416.87 Median $1,000.00 Typical High $1,949.84 | Facility | None | $416.87 | $1,000.00 | $1,949.84 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $331.13 Median $389.05 Typical High $407.38 | Professional | None (both parts) | $331.13 | $389.05 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $295.12 Typical High $602.56 | Professional | None (both parts) | $194.98 | $295.12 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $93.33 | Professional | 26 · Professional part | $30.90 | $44.67 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $257.04 Typical High $549.54 | Professional | TC · Technical part | $177.83 | $257.04 | $549.54 |
Health Alliance Plan Setting Facility Modifier None Typical Low $218.78 Median $691.83 Typical High $776.25 | Facility | None | $218.78 | $691.83 | $776.25 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $263.03 Median $281.84 Typical High $371.54 | Professional | None (both parts) | $263.03 | $281.84 | $371.54 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $45.71 Typical High $56.23 | Professional | 26 · Professional part | $39.81 | $45.71 | $56.23 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $234.42 Typical High $316.23 | Professional | TC · Technical part | $223.87 | $234.42 | $316.23 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $457.09 | Professional | None (both parts) | $194.98 | $275.42 | $457.09 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $30.90 | $41.69 | $66.07 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $234.42 Typical High $398.11 | Professional | TC · Technical part | $177.83 | $234.42 | $398.11 |
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 $257.04 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $257.04 | $288.40 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $51.29 | Professional | 26 · Professional part | $39.81 | $43.65 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $239.88 Typical High $288.40 | Professional | TC · Technical part | $218.78 | $239.88 | $288.40 |
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 $128.82 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $128.82 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $53.70 Typical High $54.95 | Professional | 53 · Discontinued | $51.29 | $53.70 | $54.95 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $141.25 | $141.25 | $141.25 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
Where Michigan sits
The same service costs 3.1 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· 25th of 51
$302
AK $631UT $204
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.