How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,380 to $6,457Professionalmedian $1,148 · 10th to 90th $977 to $1,549
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 $1,023.29 Median $1,047.13 Typical High $1,318.26 | Facility | None | $1,023.29 | $1,047.13 | $1,318.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,047.13 Typical High $1,174.90 | Professional | None (both parts) | $1,023.29 | $1,047.13 | $1,174.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $131.83 Typical High $138.04 | Professional | 26 · Professional part | $128.82 | $131.83 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $912.01 Typical High $1,047.13 | Professional | TC · Technical part | $891.25 | $912.01 | $1,047.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $218.78 | $218.78 | $218.78 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,737.80 Median $4,168.69 Typical High $8,128.31 | Facility | None | $1,737.80 | $4,168.69 | $8,128.31 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,548.82 Typical High $1,659.59 | Professional | None (both parts) | $1,380.38 | $1,548.82 | $1,659.59 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $199.53 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,230.27 Typical High $2,884.03 | Professional | None (both parts) | $812.83 | $1,230.27 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $151.36 Typical High $354.81 | Professional | 26 · Professional part | $97.72 | $151.36 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,096.48 Typical High $2,511.89 | Professional | TC · Technical part | $724.44 | $1,096.48 | $2,511.89 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,584.89 Median $2,884.03 Typical High $5,370.32 | Facility | None | $1,584.89 | $2,884.03 | $5,370.32 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,023.29 Typical High $1,348.96 | Professional | None (both parts) | $977.24 | $1,023.29 | $1,348.96 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $138.04 Typical High $181.97 | Professional | 26 · Professional part | $128.82 | $138.04 | $181.97 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $891.25 Typical High $1,148.15 | Professional | TC · Technical part | $851.14 | $891.25 | $1,148.15 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,122.02 Typical High $2,290.87 | Professional | None (both parts) | $812.83 | $1,122.02 | $2,290.87 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $147.91 Typical High $281.84 | Professional | 26 · Professional part | $97.72 | $147.91 | $281.84 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $977.24 Typical High $1,995.26 | Professional | TC · Technical part | $724.44 | $977.24 | $1,995.26 |
United Setting Facility Modifier None Typical Low $891.25 Median $1,148.15 Typical High $2,398.83 | Facility | None | $891.25 | $1,148.15 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,148.15 Typical High $1,380.38 | Professional | None (both parts) | $912.01 | $1,148.15 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $144.54 Typical High $177.83 | Professional | 26 · Professional part | $128.82 | $144.54 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,000.00 Typical High $1,174.90 | Professional | TC · Technical part | $794.33 | $1,000.00 | $1,174.90 |
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 $512.86 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $512.86 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $208.93 | $208.93 | $208.93 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $512.86 | $512.86 | $512.86 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $204.17 | $204.17 | $204.17 |
Where Michigan sits
The same service costs 2.9 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· 24th of 51
$1,148
AK $2,138TX $741
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.