How much rates vary
Facilitymedian $1,000 · 10th to 90th $363 to $2,344Professionalmedian $417 · 10th to 90th $355 to $631
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 $363.08 Median $380.19 Typical High $478.63 | Facility | None | $363.08 | $380.19 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $380.19 Typical High $446.68 | Professional | None (both parts) | $354.81 | $380.19 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $64.57 | Professional | 26 · Professional part | $57.54 | $61.66 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $316.23 Typical High $354.81 | Professional | TC · Technical part | $295.12 | $316.23 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
BCBS Michigan Setting Facility Modifier None Typical Low $645.65 Median $1,513.56 Typical High $3,019.95 | Facility | None | $645.65 | $1,513.56 | $3,019.95 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $501.19 Median $588.84 Typical High $630.96 | Professional | None (both parts) | $501.19 | $588.84 | $630.96 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $537.03 | $537.03 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $416.87 Typical High $1,047.13 | Professional | None (both parts) | $269.15 | $416.87 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $69.18 Typical High $165.96 | Professional | 26 · Professional part | $42.66 | $69.18 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $354.81 Typical High $870.96 | Professional | TC · Technical part | $229.09 | $354.81 | $870.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $331.13 Median $478.63 Typical High $1,380.38 | Facility | None | $331.13 | $478.63 | $1,380.38 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $354.81 Median $389.05 Typical High $549.54 | Professional | None (both parts) | $354.81 | $389.05 | $549.54 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $81.28 | Professional | 26 · Professional part | $52.48 | $64.57 | $81.28 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $323.59 Typical High $467.74 | Professional | TC · Technical part | $302.00 | $323.59 | $467.74 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $416.87 Typical High $812.83 | Professional | None (both parts) | $269.15 | $416.87 | $812.83 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $69.18 Typical High $114.82 | Professional | 26 · Professional part | $42.66 | $69.18 | $114.82 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $338.84 Typical High $724.44 | Professional | TC · Technical part | $229.09 | $338.84 | $724.44 |
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 $223.87 Median $354.81 Typical High $501.19 | Professional | None (both parts) | $223.87 | $354.81 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $74.13 | Professional | 26 · Professional part | $51.29 | $63.10 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $288.40 Typical High $436.52 | Professional | TC · Technical part | $173.78 | $288.40 | $436.52 |
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 $181.97 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $181.97 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $72.44 | $75.86 | $75.86 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $194.98 | $194.98 | $194.98 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $77.62 | $77.62 | $77.62 |
Where Michigan sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 20th of 51
$417
AK $776NM $240
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.