How much rates vary
Facilitymedian $794 · 10th to 90th $240 to $1,778Professionalmedian $98 · 10th to 90th $59 to $132
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 $102.33 Median $102.33 Typical High $109.65 | Facility | None | $102.33 | $102.33 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $102.33 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $61.66 | $66.07 | $66.07 |
BCBS Michigan Setting Facility Modifier None Typical Low $457.09 Median $1,071.52 Typical High $2,137.96 | Facility | None | $457.09 | $1,071.52 | $2,137.96 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $63.10 | Professional | None (both parts) | $58.88 | $58.88 | $63.10 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $120.23 Typical High $316.23 | Professional | None (both parts) | $81.28 | $120.23 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $46.77 Typical High $114.82 | Professional | 26 · Professional part | $30.20 | $46.77 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $74.13 Typical High $199.53 | Professional | TC · Technical part | $50.12 | $74.13 | $199.53 |
Health Alliance Plan Setting Facility Modifier None Typical Low $112.20 Median $263.03 Typical High $281.84 | Facility | None | $112.20 | $263.03 | $281.84 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $128.82 | Professional | None (both parts) | $97.72 | $112.20 | $128.82 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $51.29 | Professional | 26 · Professional part | $37.15 | $44.67 | $51.29 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $66.07 Typical High $79.43 | Professional | TC · Technical part | $58.88 | $66.07 | $79.43 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $120.23 Typical High $177.83 | Professional | None (both parts) | $77.62 | $120.23 | $177.83 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $46.77 | $79.43 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $74.13 Typical High $109.65 | Professional | TC · Technical part | $50.12 | $74.13 | $109.65 |
United Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $1,047.13 | Facility | None | $380.19 | $501.19 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $131.83 Typical High $309.03 | Professional | None (both parts) | $74.13 | $131.83 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $52.48 | Professional | 26 · Professional part | $34.67 | $43.65 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $83.18 Typical High $263.03 | Professional | TC · Technical part | $33.88 | $83.18 | $263.03 |
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 $51.29 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $51.29 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $20.42 | $21.88 | $21.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Where Michigan sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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· 37th of 51
$97.72
HI $309KY $57.54
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.