How much rates vary
Facilitymedian $245 · 10th to 90th $100 to $513Professionalmedian $102 · 10th to 90th $87 to $145
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 $93.33 Median $100.00 Typical High $123.03 | Facility | None | $93.33 | $100.00 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $97.72 Typical High $100.00 | Professional | None (both parts) | $93.33 | $97.72 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $36.31 | Professional | 26 · Professional part | $33.88 | $33.88 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $60.26 | $64.57 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
BCBS Michigan Setting Facility Modifier None Typical Low $123.03 Median $288.40 Typical High $575.44 | Facility | None | $123.03 | $288.40 | $575.44 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $48.98 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $48.98 | $144.54 | $144.54 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $107.15 Typical High $177.83 | Professional | None (both parts) | $79.43 | $107.15 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $30.20 | $38.02 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $70.79 Typical High $112.20 | Professional | TC · Technical part | $50.12 | $70.79 | $112.20 |
Health Alliance Plan Setting Facility Modifier None Typical Low $100.00 Median $245.47 Typical High $269.15 | Facility | None | $100.00 | $245.47 | $269.15 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $125.89 | Professional | None (both parts) | $91.20 | $100.00 | $125.89 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $44.67 | Professional | 26 · Professional part | $33.11 | $37.15 | $44.67 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $61.66 Typical High $79.43 | Professional | TC · Technical part | $58.88 | $61.66 | $79.43 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $107.15 Typical High $147.91 | Professional | None (both parts) | $79.43 | $107.15 | $147.91 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.02 Typical High $53.70 | Professional | 26 · Professional part | $29.51 | $38.02 | $53.70 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $69.18 Typical High $95.50 | Professional | TC · Technical part | $48.98 | $69.18 | $95.50 |
United Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $371.54 | Facility | None | $138.04 | $177.83 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $102.33 Typical High $114.82 | Professional | None (both parts) | $93.33 | $102.33 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $41.69 | Professional | 26 · Professional part | $33.11 | $36.31 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $64.57 Typical High $72.44 | Professional | TC · Technical part | $58.88 | $64.57 | $72.44 |
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 $46.77 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $46.77 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $19.05 | $19.50 | $19.50 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $48.98 | $48.98 | $48.98 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $19.95 | $19.95 | $19.95 |
Where Michigan sits
The same service costs 2.8 times more in Alaska 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· 30th of 51
$102
AK $186TX $67.61
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.