How much rates vary
Facilitymedian $372 · 10th to 90th $54 to $646Professionalmedian $60 · 10th to 90th $43 to $76
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 $40.74 Median $43.65 Typical High $53.70 | Facility | None | $40.74 | $43.65 | $53.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.96 Median $11.48 Typical High $14.13 | Facility | 26 · Professional part | $10.96 | $11.48 | $14.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $29.51 Median $31.62 Typical High $39.81 | Facility | TC · Technical part | $29.51 | $31.62 | $39.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $42.66 Typical High $53.70 | Professional | None (both parts) | $40.74 | $42.66 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.22 Typical High $13.18 | Professional | 26 · Professional part | $10.96 | $11.22 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $31.62 Typical High $38.90 | Professional | TC · Technical part | $29.51 | $31.62 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $36.31 Median $42.66 Typical High $60.26 | Professional | None (both parts) | $36.31 | $42.66 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.47 Typical High $12.59 | Professional | 26 · Professional part | $10.23 | $10.47 | $12.59 |
BCBS Michigan Setting Facility Modifier None Typical Low $67.61 Median $154.88 Typical High $309.03 | Facility | None | $67.61 | $154.88 | $309.03 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $51.29 Median $67.61 Typical High $72.44 | Professional | None (both parts) | $51.29 | $67.61 | $72.44 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $16.98 | $16.98 | $16.98 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $54.95 | $54.95 | $54.95 |
CareSource Setting Professional Modifier None (both parts) Typical Low $12.59 Median $34.67 Typical High $48.98 | Professional | None (both parts) | $12.59 | $34.67 | $48.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $63.10 Typical High $102.33 | Professional | None (both parts) | $38.90 | $63.10 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.49 Typical High $22.91 | Professional | 26 · Professional part | $10.23 | $15.49 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $47.86 Typical High $74.13 | Professional | TC · Technical part | $28.18 | $47.86 | $74.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $109.65 Median $398.11 Typical High $660.69 | Facility | None | $109.65 | $398.11 | $660.69 |
Health Alliance Plan Setting Facility Modifier 26 · Professional part Typical Low $10.96 Median $11.75 Typical High $36.31 | Facility | 26 · Professional part | $10.96 | $11.75 | $36.31 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $47.86 Typical High $660.69 | Facility | TC · Technical part | $31.62 | $47.86 | $660.69 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $43.65 Median $58.88 Typical High $81.28 | Professional | None (both parts) | $43.65 | $58.88 | $81.28 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.30 Typical High $17.38 | Professional | 26 · Professional part | $11.75 | $12.30 | $17.38 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $46.77 Typical High $61.66 | Professional | TC · Technical part | $31.62 | $46.77 | $61.66 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $61.66 Typical High $97.72 | Professional | None (both parts) | $35.48 | $61.66 | $97.72 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $14.45 Typical High $22.39 | Professional | 26 · Professional part | $9.77 | $14.45 | $22.39 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $46.77 Typical High $74.13 | Professional | TC · Technical part | $25.70 | $46.77 | $74.13 |
United Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $1,047.13 | Facility | None | $380.19 | $501.19 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $63.10 Typical High $72.44 | Professional | None (both parts) | $56.23 | $63.10 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $16.60 | Professional | 26 · Professional part | $12.88 | $14.79 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $54.95 | Professional | TC · Technical part | $42.66 | $50.12 | $54.95 |
6 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 $20.42 Median $21.38 Typical High $21.88 | Professional | 52 · Reduced service | $20.42 | $21.38 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.51 Typical High $8.71 | Professional | 53 · Discontinued | $8.13 | $8.51 | $8.71 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $40.74 Median $42.66 Typical High $42.66 | Professional | 59 · Distinct service | $40.74 | $42.66 | $42.66 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $21.88 | $21.88 | $21.88 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.71 | $8.71 | $8.71 |
Health Alliance Plan Setting Professional Modifier 59 · Distinct service Typical Low $64.57 Median $70.79 Typical High $89.13 | Professional | 59 · Distinct service | $64.57 | $70.79 | $89.13 |
Where Michigan sits
The same service costs 3.3 times more in Minnesota 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· 21st of 51
$61.66
MN $105UT $31.62
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.