How much rates vary
Facilitymedian $186 · 10th to 90th $35 to $363Professionalmedian $36 · 10th to 90th $29 to $49
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 $28.84 Median $30.20 Typical High $35.48 | Facility | None | $28.84 | $30.20 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $30.20 Typical High $34.67 | Professional | None (both parts) | $28.84 | $30.20 | $34.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $9.12 Typical High $9.55 | Professional | 26 · Professional part | $8.91 | $9.12 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $21.38 Typical High $25.12 | Professional | TC · Technical part | $19.95 | $21.38 | $25.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $27.54 Typical High $29.51 | Professional | None (both parts) | $25.12 | $27.54 | $29.51 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.51 Typical High $11.48 | Professional | 26 · Professional part | $8.13 | $8.51 | $11.48 |
BCBS Michigan Setting Facility Modifier None Typical Low $42.66 Median $100.00 Typical High $199.53 | Facility | None | $42.66 | $100.00 | $199.53 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $43.65 Median $45.71 Typical High $48.98 | Professional | None (both parts) | $43.65 | $45.71 | $48.98 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 26 · Professional part | $13.80 | $13.80 | $13.80 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | TC · Technical part | $35.48 | $35.48 | $35.48 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.23 Median $22.91 Typical High $34.67 | Professional | None (both parts) | $10.23 | $22.91 | $34.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $39.81 Typical High $63.10 | Professional | None (both parts) | $26.92 | $39.81 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.77 Typical High $15.85 | Professional | 26 · Professional part | $7.59 | $9.77 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $28.84 Typical High $45.71 | Professional | TC · Technical part | $18.62 | $28.84 | $45.71 |
Health Alliance Plan Setting Facility Modifier None Typical Low $83.18 Median $213.80 Typical High $398.11 | Facility | None | $83.18 | $213.80 | $398.11 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $8.91 Median $9.55 Typical High $23.44 | Facility | 26 · Professional part | $8.91 | $9.55 | $23.44 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $338.84 | Facility | TC · Technical part | $19.95 | $25.12 | $338.84 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $30.20 Median $35.48 Typical High $50.12 | Professional | None (both parts) | $30.20 | $35.48 | $50.12 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.55 Typical High $11.48 | Professional | 26 · Professional part | $8.13 | $9.55 | $11.48 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $36.31 | Professional | TC · Technical part | $20.89 | $26.92 | $36.31 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $38.90 Typical High $60.26 | Professional | None (both parts) | $24.55 | $38.90 | $60.26 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.77 Typical High $14.45 | Professional | 26 · Professional part | $7.41 | $9.77 | $14.45 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $28.84 Typical High $45.71 | Professional | TC · Technical part | $17.38 | $28.84 | $45.71 |
United Setting Facility Modifier None Typical Low $223.87 Median $288.40 Typical High $602.56 | Facility | None | $223.87 | $288.40 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $37.15 Typical High $42.66 | Professional | None (both parts) | $31.62 | $37.15 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.12 Typical High $10.47 | Professional | 26 · Professional part | $7.94 | $9.12 | $10.47 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.18 Typical High $32.36 | Professional | TC · Technical part | $23.44 | $28.18 | $32.36 |
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 $14.45 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $14.45 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.03 Typical High $6.17 | Professional | 53 · Discontinued | $5.75 | $6.03 | $6.17 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $25.12 Median $27.54 Typical High $29.51 | Professional | 59 · Distinct service | $25.12 | $27.54 | $29.51 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $15.14 | $15.14 | $15.14 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.03 |
Where Michigan sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 24th of 51
$37.15
MN $67.61TX $26.92
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.