How much rates vary
Facilitymedian $138 · 10th to 90th $59 to $295Professionalmedian $52 · 10th to 90th $43 to $74
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 $46.77 Median $46.77 Typical High $48.98 | Facility | None | $46.77 | $46.77 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $48.98 Typical High $51.29 | Professional | None (both parts) | $46.77 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.49 Typical High $14.13 | Professional | 26 · Professional part | $13.18 | $13.49 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $35.48 Typical High $37.15 | Professional | TC · Technical part | $33.11 | $35.48 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
BCBS Michigan Setting Facility Modifier None Typical Low $70.79 Median $165.96 Typical High $331.13 | Facility | None | $70.79 | $165.96 | $331.13 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $54.95 Median $74.13 Typical High $79.43 | Professional | None (both parts) | $54.95 | $74.13 | $79.43 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $20.42 | $20.42 | $20.42 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $51.29 Typical High $79.43 | Professional | None (both parts) | $38.90 | $51.29 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.45 Typical High $23.99 | Professional | 26 · Professional part | $11.48 | $14.45 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $35.48 Typical High $54.95 | Professional | TC · Technical part | $26.92 | $35.48 | $54.95 |
Health Alliance Plan Setting Facility Modifier None Typical Low $44.67 Median $112.20 Typical High $120.23 | Facility | None | $44.67 | $112.20 | $120.23 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $40.74 Median $44.67 Typical High $57.54 | Professional | None (both parts) | $40.74 | $44.67 | $57.54 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.45 Typical High $16.98 | Professional | 26 · Professional part | $12.02 | $14.45 | $16.98 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $30.20 Typical High $40.74 | Professional | TC · Technical part | $28.84 | $30.20 | $40.74 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $48.98 Typical High $74.13 | Professional | None (both parts) | $34.67 | $48.98 | $74.13 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $21.38 | Professional | 26 · Professional part | $11.22 | $14.45 | $21.38 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $35.48 Typical High $52.48 | Professional | TC · Technical part | $25.12 | $35.48 | $52.48 |
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 $41.69 Median $45.71 Typical High $48.98 | Professional | None (both parts) | $41.69 | $45.71 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.80 Typical High $15.85 | Professional | 26 · Professional part | $12.30 | $13.80 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $31.62 Typical High $34.67 | Professional | TC · Technical part | $28.18 | $31.62 | $34.67 |
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 $23.44 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $23.44 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $9.33 | $9.77 | $9.77 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $8.91 | $8.91 | $8.91 |
Where Michigan sits
The same service costs 2.9 times more in Alaska 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· 22nd of 51
$52.48
AK $89.13UT $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.