How much rates vary
Facilitymedian $977 · 10th to 90th $457 to $2,512Professionalmedian $537 · 10th to 90th $407 to $794
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 $457.09 Median $489.78 Typical High $602.56 | Facility | None | $457.09 | $489.78 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $478.63 Typical High $562.34 | Professional | None (both parts) | $436.52 | $478.63 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $93.33 Typical High $100.00 | Professional | 26 · Professional part | $91.20 | $93.33 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $389.05 Typical High $436.52 | Professional | TC · Technical part | $346.74 | $389.05 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $776.25 Median $1,819.70 Typical High $3,630.78 | Facility | None | $776.25 | $1,819.70 | $3,630.78 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $602.56 Median $741.31 Typical High $794.33 | Professional | None (both parts) | $602.56 | $741.31 | $794.33 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $144.54 | $144.54 | $144.54 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | TC · Technical part | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $524.81 Typical High $1,288.25 | Professional | None (both parts) | $316.23 | $524.81 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $102.33 Typical High $257.04 | Professional | 26 · Professional part | $69.18 | $102.33 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $407.38 Typical High $1,023.29 | Professional | TC · Technical part | $269.15 | $407.38 | $1,023.29 |
Health Alliance Plan Setting Facility Modifier None Typical Low $457.09 Median $645.65 Typical High $1,202.26 | Facility | None | $457.09 | $645.65 | $1,202.26 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $407.38 Median $478.63 Typical High $645.65 | Professional | None (both parts) | $407.38 | $478.63 | $645.65 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $123.03 | Professional | 26 · Professional part | $85.11 | $100.00 | $123.03 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $380.19 Typical High $524.81 | Professional | TC · Technical part | $323.59 | $380.19 | $524.81 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $524.81 Typical High $933.25 | Professional | None (both parts) | $309.03 | $524.81 | $933.25 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $102.33 Typical High $181.97 | Professional | 26 · Professional part | $69.18 | $102.33 | $181.97 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $398.11 Typical High $794.33 | Professional | TC · Technical part | $269.15 | $398.11 | $794.33 |
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 $275.42 Median $436.52 Typical High $588.84 | Professional | None (both parts) | $275.42 | $436.52 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $114.82 | Professional | 26 · Professional part | $83.18 | $97.72 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $346.74 Typical High $478.63 | Professional | TC · Technical part | $194.98 | $346.74 | $478.63 |
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 $229.09 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $229.09 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $91.20 | $95.50 | $95.50 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $239.88 | $239.88 | $239.88 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
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· 19th of 51
$537
AK $977NM $302
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.