How much rates vary
Facilitymedian $355 · 10th to 90th $151 to $871Professionalmedian $209 · 10th to 90th $138 to $269
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 $151.36 Typical High $154.88 | Facility | None | $138.04 | $151.36 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $147.91 | Professional | None (both parts) | $134.90 | $144.54 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $22.91 | $26.92 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $112.20 | $120.23 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
BCBS Michigan Setting Facility Modifier None Typical Low $239.88 Median $575.44 Typical High $1,122.02 | Facility | None | $239.88 | $575.44 | $1,122.02 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $33.11 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $33.11 | $223.87 | $223.87 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $199.53 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $302.00 | Professional | None (both parts) | $131.83 | $169.82 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $23.44 Typical High $44.67 | Professional | 26 · Professional part | $13.80 | $23.44 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $147.91 Typical High $281.84 | Professional | TC · Technical part | $109.65 | $147.91 | $281.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $144.54 Median $154.88 Typical High $870.96 | Facility | None | $144.54 | $154.88 | $870.96 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $28.18 Median $28.84 Typical High $38.02 | Facility | 26 · Professional part | $28.18 | $28.84 | $38.02 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $524.81 | Facility | TC · Technical part | $125.89 | $125.89 | $524.81 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $144.54 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $144.54 | $208.93 | $281.84 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $17.38 Typical High $28.18 | Professional | 26 · Professional part | $13.18 | $17.38 | $28.18 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $194.98 Typical High $263.03 | Professional | TC · Technical part | $117.49 | $194.98 | $263.03 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $288.40 | Professional | None (both parts) | $120.23 | $169.82 | $288.40 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $22.91 Typical High $33.88 | Professional | 26 · Professional part | $13.80 | $22.91 | $33.88 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $144.54 Typical High $269.15 | Professional | TC · Technical part | $102.33 | $144.54 | $269.15 |
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 $158.49 Median $186.21 Typical High $229.09 | Professional | None (both parts) | $158.49 | $186.21 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.85 Typical High $28.84 | Professional | 26 · Professional part | $12.59 | $15.85 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $173.78 Typical High $213.80 | Professional | TC · Technical part | $134.90 | $173.78 | $213.80 |
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 $72.44 | Professional | 52 · Reduced service | $69.18 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $27.54 | $29.51 | $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 3.7 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· 14th of 51
$209
AK $363UT $97.72
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.