How much rates vary
Facilitymedian $355 · 10th to 90th $138 to $631Professionalmedian $166 · 10th to 90th $138 to $234
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 $138.04 Median $138.04 Typical High $173.78 | Facility | None | $138.04 | $138.04 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $213.80 | Professional | None (both parts) | $138.04 | $138.04 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $41.69 | $41.69 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $154.88 | Professional | TC · Technical part | $95.50 | $95.50 | $154.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $128.82 | $138.04 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $38.02 | $51.29 | $51.29 |
BCBS Michigan Setting Facility Modifier None Typical Low $204.17 Median $478.63 Typical High $954.99 | Facility | None | $204.17 | $478.63 | $954.99 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $51.29 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $51.29 | $173.78 | $234.42 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $64.57 | $64.57 | $64.57 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $144.54 | $169.82 | $169.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $36.31 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $36.31 | $107.15 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $208.93 Typical High $489.78 | Professional | None (both parts) | $123.03 | $208.93 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $61.66 Typical High $120.23 | Professional | 26 · Professional part | $33.11 | $61.66 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $147.91 Typical High $354.81 | Professional | TC · Technical part | $87.10 | $147.91 | $354.81 |
Health Alliance Plan Setting Facility Modifier None Typical Low $131.83 Median $338.84 Typical High $575.44 | Facility | None | $131.83 | $338.84 | $575.44 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $263.03 Typical High $316.23 | Facility | TC · Technical part | $95.50 | $263.03 | $316.23 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $154.88 | $162.18 | $223.87 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $48.98 Typical High $66.07 | Professional | 26 · Professional part | $44.67 | $48.98 | $66.07 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $114.82 Typical High $158.49 | Professional | TC · Technical part | $107.15 | $114.82 | $158.49 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $208.93 Typical High $323.59 | Professional | None (both parts) | $123.03 | $208.93 | $323.59 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $56.23 Typical High $91.20 | Professional | 26 · Professional part | $33.11 | $56.23 | $91.20 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $147.91 Typical High $239.88 | Professional | TC · Technical part | $87.10 | $147.91 | $239.88 |
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 $165.96 Median $204.17 Typical High $257.04 | Professional | None (both parts) | $165.96 | $204.17 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $42.66 | $58.88 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $147.91 Typical High $186.21 | Professional | TC · Technical part | $120.23 | $147.91 | $186.21 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Michigan Setting Professional Modifier TG · Complex care level Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | TG · Complex care level | $173.78 | $173.78 | $173.78 |
Where Michigan sits
The same service costs 3.3 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· 35th of 51
$166
AK $347TX $105
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.