How much rates vary
Facilitymedian $115 · 10th to 90th $44 to $316Professionalmedian $43 · 10th to 90th $35 to $65
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 $41.69 Median $41.69 Typical High $43.65 | Facility | None | $41.69 | $41.69 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $42.66 Typical High $44.67 | Professional | None (both parts) | $41.69 | $42.66 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $16.22 | Professional | 26 · Professional part | $15.49 | $15.49 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $27.54 Typical High $28.84 | Professional | TC · Technical part | $25.70 | $27.54 | $28.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
BCBS Michigan Setting Facility Modifier None Typical Low $54.95 Median $128.82 Typical High $257.04 | Facility | None | $54.95 | $128.82 | $257.04 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $22.39 Median $42.66 Typical High $69.18 | Professional | None (both parts) | $22.39 | $42.66 | $69.18 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $23.99 | $23.99 | $23.99 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $45.71 | $45.71 | $45.71 |
CareSource Setting Professional Modifier None (both parts) Typical Low $17.78 Median $30.20 Typical High $50.12 | Professional | None (both parts) | $17.78 | $30.20 | $50.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $45.71 Typical High $74.13 | Professional | None (both parts) | $34.67 | $45.71 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.98 Typical High $27.54 | Professional | 26 · Professional part | $13.49 | $16.98 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.18 Typical High $45.71 | Professional | TC · Technical part | $20.42 | $28.18 | $45.71 |
Health Alliance Plan Setting Facility Modifier None Typical Low $43.65 Median $112.20 Typical High $616.60 | Facility | None | $43.65 | $112.20 | $616.60 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $38.02 Median $43.65 Typical High $53.70 | Professional | None (both parts) | $38.02 | $43.65 | $53.70 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.60 Typical High $20.42 | Professional | 26 · Professional part | $14.45 | $16.60 | $20.42 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $26.92 Typical High $33.88 | Professional | TC · Technical part | $23.99 | $26.92 | $33.88 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $33.88 Median $45.71 Typical High $64.57 | Professional | None (both parts) | $33.88 | $45.71 | $64.57 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.98 Typical High $25.12 | Professional | 26 · Professional part | $13.18 | $16.98 | $25.12 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.18 Typical High $40.74 | Professional | TC · Technical part | $20.42 | $28.18 | $40.74 |
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 $35.48 Median $41.69 Typical High $46.77 | Professional | None (both parts) | $35.48 | $41.69 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.85 Typical High $17.78 | Professional | 26 · Professional part | $13.80 | $15.85 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $28.84 | Professional | TC · Technical part | $21.38 | $25.70 | $28.84 |
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 $20.42 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $20.42 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $8.32 | $8.51 | $8.51 |
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 |
Where Michigan sits
The same service costs 2.7 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· 28th of 51
$42.66
MN $83.18UT $30.90
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.