How much rates vary
Facilitymedian $316 · 10th to 90th $141 to $692Professionalmedian $93 · 10th to 90th $62 to $174
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 $91.20 Median $91.20 Typical High $97.72 | Facility | None | $91.20 | $91.20 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $91.20 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $69.18 | $74.13 | $74.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $177.83 Median $426.58 Typical High $831.76 | Facility | None | $177.83 | $426.58 | $831.76 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $141.25 | $173.78 | $173.78 |
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 $151.36 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $151.36 | $151.36 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $79.43 Typical High $147.91 | Professional | None (both parts) | $50.12 | $79.43 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.91 Typical High $35.48 | Professional | 26 · Professional part | $17.38 | $22.91 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $57.54 Typical High $112.20 | Professional | TC · Technical part | $30.90 | $57.54 | $112.20 |
Health Alliance Plan Setting Facility Modifier None Typical Low $93.33 Median $165.96 Typical High $181.97 | Facility | None | $93.33 | $165.96 | $181.97 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $61.66 Median $83.18 Typical High $93.33 | Professional | None (both parts) | $61.66 | $83.18 | $93.33 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $26.30 | Professional | 26 · Professional part | $18.62 | $22.91 | $26.30 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $57.54 Typical High $69.18 | Professional | TC · Technical part | $43.65 | $57.54 | $69.18 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $77.62 Typical High $125.89 | Professional | None (both parts) | $57.54 | $77.62 | $125.89 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.91 Typical High $33.88 | Professional | 26 · Professional part | $17.38 | $22.91 | $33.88 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $57.54 Typical High $95.50 | Professional | TC · Technical part | $39.81 | $57.54 | $95.50 |
United Setting Facility Modifier None Typical Low $131.83 Median $173.78 Typical High $363.08 | Facility | None | $131.83 | $173.78 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $69.18 Typical High $81.28 | Professional | None (both parts) | $47.86 | $69.18 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.38 Typical High $23.99 | Professional | 26 · Professional part | $18.20 | $21.38 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $48.98 Typical High $57.54 | Professional | TC · Technical part | $30.20 | $48.98 | $57.54 |
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 $45.71 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $45.71 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $18.20 | $19.05 | $19.05 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Where Michigan sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 19th of 51
$93.33
ND $186KY $53.70
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.