How much rates vary
Facilitymedian $263 · 10th to 90th $72 to $794Professionalmedian $69 · 10th to 90th $60 to $107
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 $67.61 Median $72.44 Typical High $87.10 | Facility | None | $67.61 | $72.44 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $69.18 Typical High $74.13 | Professional | None (both parts) | $67.61 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $31.62 | Professional | 26 · Professional part | $30.20 | $30.20 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $39.81 Typical High $41.69 | Professional | TC · Technical part | $37.15 | $39.81 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | None (both parts) | $57.54 | $57.54 | $67.61 |
BCBS Michigan Setting Facility Modifier None Typical Low $87.10 Median $194.98 Typical High $380.19 | Facility | None | $87.10 | $194.98 | $380.19 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $63.10 Median $102.33 Typical High $114.82 | Professional | None (both parts) | $63.10 | $102.33 | $114.82 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $67.61 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $75.86 Typical High $186.21 | Professional | None (both parts) | $56.23 | $75.86 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $54.95 | Professional | 26 · Professional part | $25.70 | $33.11 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $40.74 Typical High $107.15 | Professional | TC · Technical part | $27.54 | $40.74 | $107.15 |
Health Alliance Plan Setting Facility Modifier None Typical Low $74.13 Median $549.54 Typical High $933.25 | Facility | None | $74.13 | $549.54 | $933.25 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $60.26 Median $69.18 Typical High $85.11 | Professional | None (both parts) | $60.26 | $69.18 | $85.11 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $39.81 | Professional | 26 · Professional part | $28.18 | $32.36 | $39.81 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $37.15 Typical High $44.67 | Professional | TC · Technical part | $31.62 | $37.15 | $44.67 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $72.44 Typical High $120.23 | Professional | None (both parts) | $51.29 | $72.44 | $120.23 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $48.98 | Professional | 26 · Professional part | $25.70 | $33.11 | $48.98 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.02 Typical High $60.26 | Professional | TC · Technical part | $28.18 | $38.02 | $60.26 |
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 $60.26 Median $66.07 Typical High $72.44 | Professional | None (both parts) | $60.26 | $66.07 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.90 Typical High $35.48 | Professional | 26 · Professional part | $27.54 | $30.90 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $33.88 Typical High $37.15 | Professional | TC · Technical part | $30.90 | $33.88 | $37.15 |
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 $33.88 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $33.88 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $13.49 | $14.13 | $14.13 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $34.67 | $34.67 | $34.67 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.80 | $13.80 | $13.80 |
Where Michigan sits
The same service costs 3.6 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· 27th of 51
$69.18
MN $141TX $38.90
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.