How much rates vary
Facilitymedian $302 · 10th to 90th $123 to $661Professionalmedian $129 · 10th to 90th $112 to $182
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 $125.89 Typical High $151.36 | Facility | None | $117.49 | $125.89 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $144.54 | Professional | None (both parts) | $117.49 | $120.23 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $70.79 Typical High $85.11 | Professional | 26 · Professional part | $69.18 | $70.79 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $50.12 Typical High $60.26 | Professional | TC · Technical part | $46.77 | $50.12 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
BCBS Michigan Setting Facility Modifier None Typical Low $104.71 Median $239.88 Typical High $467.74 | Facility | None | $104.71 | $239.88 | $467.74 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $97.72 Median $181.97 Typical High $194.98 | Professional | None (both parts) | $97.72 | $181.97 | $194.98 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $85.11 | $85.11 | $85.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $40.74 Median $81.28 Typical High $138.04 | Professional | None (both parts) | $40.74 | $81.28 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $151.36 Typical High $363.08 | Professional | None (both parts) | $89.13 | $151.36 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $190.55 | Professional | 26 · Professional part | $48.98 | $79.43 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $67.61 Typical High $165.96 | Professional | TC · Technical part | $38.90 | $67.61 | $165.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $144.54 Median $426.58 Typical High $758.58 | Facility | None | $144.54 | $426.58 | $758.58 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $131.83 Typical High $660.69 | Facility | TC · Technical part | $51.29 | $131.83 | $660.69 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $112.20 Median $128.82 Typical High $158.49 | Professional | None (both parts) | $112.20 | $128.82 | $158.49 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $91.20 | Professional | 26 · Professional part | $64.57 | $75.86 | $91.20 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $52.48 Typical High $67.61 | Professional | TC · Technical part | $48.98 | $52.48 | $67.61 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $89.13 | $151.36 | $269.15 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $151.36 | Professional | 26 · Professional part | $48.98 | $79.43 | $151.36 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $67.61 Typical High $114.82 | Professional | TC · Technical part | $38.90 | $67.61 | $114.82 |
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 $117.49 Median $134.90 Typical High $162.18 | Professional | None (both parts) | $117.49 | $134.90 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $91.20 | Professional | 26 · Professional part | $66.07 | $75.86 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $57.54 Typical High $70.79 | Professional | TC · Technical part | $52.48 | $57.54 | $70.79 |
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 3.8 times more in Alaska than in Utah. 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· 28th of 51
$129
AK $275UT $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.