How much rates vary
Facilitymedian $6,026 · 10th to 90th $2,692 to $13,490Professionalmedian $1,995 · 10th to 90th $1,622 to $3,020
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 $1,819.70 Median $1,819.70 Typical High $1,905.46 | Facility | None | $1,819.70 | $1,819.70 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,905.46 Typical High $1,905.46 | Professional | None (both parts) | $1,819.70 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $354.81 | $363.08 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,548.82 Typical High $1,548.82 | Professional | TC · Technical part | $1,445.44 | $1,548.82 | $1,548.82 |
BCBS Michigan Setting Facility Modifier None Typical Low $3,235.94 Median $7,762.47 Typical High $15,135.61 | Facility | None | $3,235.94 | $7,762.47 | $15,135.61 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $3,019.95 Typical High $3,235.94 | Professional | None (both parts) | $2,511.89 | $3,019.95 | $3,235.94 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 26 · Professional part | $562.34 | $562.34 | $562.34 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | TC · Technical part | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $2,290.87 Typical High $5,888.44 | Professional | None (both parts) | $1,412.54 | $2,290.87 | $5,888.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $398.11 Typical High $977.24 | Professional | 26 · Professional part | $245.47 | $398.11 | $977.24 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,862.09 Typical High $4,897.79 | Professional | TC · Technical part | $1,174.90 | $1,862.09 | $4,897.79 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,995.26 Median $4,365.16 Typical High $4,786.30 | Facility | None | $1,995.26 | $4,365.16 | $4,786.30 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,995.26 Typical High $2,344.23 | Professional | None (both parts) | $1,621.81 | $1,995.26 | $2,344.23 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $380.19 Typical High $426.58 | Professional | 26 · Professional part | $302.00 | $380.19 | $426.58 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,621.81 Typical High $1,905.46 | Professional | TC · Technical part | $1,318.26 | $1,621.81 | $1,905.46 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,290.87 Typical High $3,548.13 | Professional | None (both parts) | $1,479.11 | $2,290.87 | $3,548.13 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $398.11 Typical High $645.65 | Professional | 26 · Professional part | $245.47 | $398.11 | $645.65 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,862.09 Typical High $3,019.95 | Professional | TC · Technical part | $1,230.27 | $1,862.09 | $3,019.95 |
United Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,905.46 Typical High $2,290.87 | Professional | None (both parts) | $1,230.27 | $1,905.46 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $363.08 Typical High $436.52 | Professional | 26 · Professional part | $309.03 | $363.08 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,548.82 Typical High $1,862.09 | Professional | TC · Technical part | $912.01 | $1,548.82 | $1,862.09 |
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 $912.01 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $912.01 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $363.08 | $380.19 | $380.19 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,000.00 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $398.11 | $398.11 | $398.11 |
Where Michigan sits
The same service costs 3.2 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· 22nd of 51
$1,995
AK $4,467TX $1,413
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.