How much rates vary
Facilitymedian $407 · 10th to 90th $148 to $955Professionalmedian $166 · 10th to 90th $117 to $229
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 $138.04 Median $147.91 Typical High $181.97 | Facility | None | $138.04 | $147.91 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $144.54 Typical High $169.82 | Professional | None (both parts) | $138.04 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $26.92 | Professional | 26 · Professional part | $23.99 | $26.30 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $120.23 Typical High $147.91 | Professional | TC · Technical part | $112.20 | $120.23 | $147.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
BCBS Michigan Setting Facility Modifier None Typical Low $245.47 Median $588.84 Typical High $1,148.15 | Facility | None | $245.47 | $588.84 | $1,148.15 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $35.48 Median $229.09 Typical High $245.47 | Professional | None (both parts) | $35.48 | $229.09 | $245.47 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | TC · Technical part | $208.93 | $208.93 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $173.78 Typical High $346.74 | Professional | None (both parts) | $117.49 | $173.78 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $28.18 Typical High $60.26 | Professional | 26 · Professional part | $19.50 | $28.18 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $144.54 Typical High $316.23 | Professional | TC · Technical part | $102.33 | $144.54 | $316.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $144.54 Median $354.81 Typical High $389.05 | Facility | None | $144.54 | $354.81 | $389.05 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $181.97 | Professional | None (both parts) | $134.90 | $144.54 | $181.97 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $34.67 | Professional | 26 · Professional part | $25.70 | $28.18 | $34.67 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $117.49 Typical High $151.36 | Professional | TC · Technical part | $107.15 | $117.49 | $151.36 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $158.49 Typical High $263.03 | Professional | None (both parts) | $117.49 | $158.49 | $263.03 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $27.54 Typical High $41.69 | Professional | 26 · Professional part | $19.05 | $27.54 | $41.69 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $229.09 | Professional | TC · Technical part | $102.33 | $134.90 | $229.09 |
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 $151.36 Median $165.96 Typical High $194.98 | Professional | None (both parts) | $151.36 | $165.96 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $33.88 | Professional | 26 · Professional part | $25.70 | $28.84 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $138.04 Typical High $162.18 | Professional | TC · Technical part | $123.03 | $138.04 | $162.18 |
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 $69.18 Median $72.44 Typical High $74.13 | Professional | 52 · Reduced service | $69.18 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $29.51 | Professional | 53 · Discontinued | $27.54 | $28.84 | $29.51 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Where Michigan sits
The same service costs 3.8 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· 26th of 51
$166
AK $363UT $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.