How much rates vary
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 $138.04 Median $138.04 Typical High $144.54 | Facility | None | $138.04 | $138.04 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $138.04 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $67.61 | $70.79 | $70.79 |
BCBS Michigan Setting Facility Modifier None Typical Low $177.83 Median $338.84 Typical High $645.65 | Facility | None | $177.83 | $338.84 | $645.65 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $199.53 Median $223.87 Typical High $316.23 | Professional | None (both parts) | $199.53 | $223.87 | $316.23 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $114.82 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $158.49 Typical High $407.38 | Professional | None (both parts) | $100.00 | $158.49 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $79.43 Typical High $186.21 | Professional | 26 · Professional part | $50.12 | $79.43 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $79.43 Typical High $218.78 | Professional | TC · Technical part | $45.71 | $79.43 | $218.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $144.54 Median $295.12 Typical High $323.59 | Facility | None | $144.54 | $295.12 | $323.59 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $165.96 | Professional | None (both parts) | $109.65 | $144.54 | $165.96 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $87.10 | Professional | 26 · Professional part | $61.66 | $74.13 | $87.10 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $70.79 Typical High $81.28 | Professional | TC · Technical part | $46.77 | $70.79 | $81.28 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $158.49 Typical High $245.47 | Professional | None (both parts) | $100.00 | $158.49 | $245.47 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $79.43 Typical High $134.90 | Professional | 26 · Professional part | $50.12 | $79.43 | $134.90 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $75.86 Typical High $134.90 | Professional | TC · Technical part | $51.29 | $75.86 | $134.90 |
United Setting Facility Modifier None Typical Low $131.83 Median $173.78 Typical High $363.08 | Facility | None | $131.83 | $173.78 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $138.04 Typical High $169.82 | Professional | None (both parts) | $89.13 | $138.04 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $87.10 | Professional | 26 · Professional part | $61.66 | $74.13 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $67.61 Typical High $81.28 | Professional | TC · Technical part | $26.30 | $67.61 | $81.28 |
2 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 |
|---|---|---|---|---|---|
BCBS Michigan Setting Facility Modifier 50 · Both sides Typical Low $169.82 Median $338.84 Typical High $645.65 | Facility | 50 · Both sides | $169.82 | $338.84 | $645.65 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 50 · Both sides | $338.84 | $338.84 | $338.84 |
Where Michigan sits
The same service costs 4.7 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· 25th of 51
$148
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.