How much rates vary
Facilitymedian $200 · 10th to 90th $91 to $363Professionalmedian $100 · 10th to 90th $71 to $138
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 $91.20 Median $97.72 Typical High $120.23 | Facility | None | $91.20 | $97.72 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $95.50 Typical High $100.00 | Professional | None (both parts) | $91.20 | $95.50 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $50.12 | Professional | 26 · Professional part | $45.71 | $47.86 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $46.77 Typical High $48.98 | Professional | TC · Technical part | $43.65 | $46.77 | $48.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $83.18 | $85.11 | $85.11 |
BCBS Michigan Setting Facility Modifier None Typical Low $91.20 Median $218.78 Typical High $426.58 | Facility | None | $91.20 | $218.78 | $426.58 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $67.61 Median $138.04 Typical High $147.91 | Professional | None (both parts) | $67.61 | $138.04 | $147.91 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $75.86 | $75.86 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $100.00 Typical High $263.03 | Professional | None (both parts) | $67.61 | $100.00 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $53.70 Typical High $128.82 | Professional | 26 · Professional part | $34.67 | $53.70 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $46.77 Typical High $123.03 | Professional | TC · Technical part | $34.67 | $46.77 | $123.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $100.00 Median $213.80 Typical High $239.88 | Facility | None | $100.00 | $213.80 | $239.88 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $114.82 | Professional | None (both parts) | $81.28 | $100.00 | $114.82 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $60.26 | Professional | 26 · Professional part | $43.65 | $52.48 | $60.26 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $47.86 Typical High $54.95 | Professional | TC · Technical part | $38.02 | $47.86 | $54.95 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $100.00 Typical High $158.49 | Professional | None (both parts) | $66.07 | $100.00 | $158.49 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $53.70 Typical High $91.20 | Professional | 26 · Professional part | $34.67 | $53.70 | $91.20 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $45.71 Typical High $83.18 | Professional | TC · Technical part | $34.67 | $45.71 | $83.18 |
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 $69.18 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $69.18 | $89.13 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $58.88 | Professional | 26 · Professional part | $42.66 | $50.12 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $41.69 Typical High $51.29 | Professional | TC · Technical part | $26.92 | $41.69 | $51.29 |
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 $45.71 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $45.71 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $18.20 | $19.05 | $19.05 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $50.12 | $50.12 | $50.12 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $19.95 | $19.95 | $19.95 |
Where Michigan sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 21st of 51
$100
AK $219AL $67.61
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.