How much rates vary
Facilitymedian $269 · 10th to 90th $126 to $525Professionalmedian $126 · 10th to 90th $93 to $186
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 $117.49 Median $117.49 Typical High $123.03 | Facility | None | $117.49 | $117.49 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $120.23 Typical High $128.82 | Professional | None (both parts) | $112.20 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $57.54 | Professional | 26 · Professional part | $52.48 | $54.95 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $58.88 | $66.07 | $66.07 |
BCBS Michigan Setting Facility Modifier None Typical Low $144.54 Median $323.59 Typical High $630.96 | Facility | None | $144.54 | $323.59 | $630.96 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $100.00 Median $186.21 Typical High $199.53 | Professional | None (both parts) | $100.00 | $186.21 | $199.53 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $147.91 Typical High $363.08 | Professional | None (both parts) | $87.10 | $147.91 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $61.66 Typical High $147.91 | Professional | 26 · Professional part | $38.90 | $61.66 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $85.11 Typical High $213.80 | Professional | TC · Technical part | $50.12 | $85.11 | $213.80 |
Health Alliance Plan Setting Facility Modifier None Typical Low $128.82 Median $251.19 Typical High $380.19 | Facility | None | $128.82 | $251.19 | $380.19 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $93.33 Median $128.82 Typical High $154.88 | Professional | None (both parts) | $93.33 | $128.82 | $154.88 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $67.61 | Professional | 26 · Professional part | $47.86 | $58.88 | $67.61 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $69.18 Typical High $87.10 | Professional | TC · Technical part | $44.67 | $69.18 | $87.10 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $147.91 Typical High $223.87 | Professional | None (both parts) | $87.10 | $147.91 | $223.87 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $61.66 Typical High $104.71 | Professional | 26 · Professional part | $38.90 | $61.66 | $104.71 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $79.43 Typical High $141.25 | Professional | TC · Technical part | $50.12 | $79.43 | $141.25 |
United Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $371.54 | Facility | None | $138.04 | $177.83 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $123.03 Typical High $151.36 | Professional | None (both parts) | $81.28 | $123.03 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $66.07 | Professional | 26 · Professional part | $46.77 | $57.54 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $69.18 Typical High $81.28 | Professional | TC · Technical part | $33.11 | $69.18 | $81.28 |
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 $58.88 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $58.88 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $23.44 | $23.99 | $23.99 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Where Michigan sits
The same service costs 3.9 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· 24th of 51
$129
AK $282TX $72.44
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.