How much rates vary
Facilitymedian $295 · 10th to 90th $151 to $513Professionalmedian $170 · 10th to 90th $102 to $240
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 $158.49 Median $165.96 Typical High $204.17 | Facility | None | $158.49 | $165.96 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $165.96 | Professional | None (both parts) | $154.88 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $93.33 Typical High $97.72 | Professional | 26 · Professional part | $89.13 | $93.33 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $64.57 | $67.61 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | None (both parts) | $134.90 | $134.90 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $134.90 Median $316.23 Typical High $616.60 | Facility | None | $134.90 | $316.23 | $616.60 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $102.33 Median $229.09 Typical High $257.04 | Professional | None (both parts) | $102.33 | $229.09 | $257.04 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $144.54 | $144.54 | $144.54 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $177.83 Typical High $457.09 | Professional | None (both parts) | $114.82 | $177.83 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $104.71 Typical High $251.19 | Professional | 26 · Professional part | $66.07 | $104.71 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $74.13 Typical High $194.98 | Professional | TC · Technical part | $51.29 | $74.13 | $194.98 |
Health Alliance Plan Setting Facility Modifier None Typical Low $173.78 Median $380.19 Typical High $416.87 | Facility | None | $173.78 | $380.19 | $416.87 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $199.53 | Professional | None (both parts) | $141.25 | $173.78 | $199.53 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $117.49 | Professional | 26 · Professional part | $87.10 | $102.33 | $117.49 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $72.44 Typical High $77.62 | Professional | TC · Technical part | $53.70 | $72.44 | $77.62 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $177.83 Typical High $346.74 | Professional | None (both parts) | $114.82 | $177.83 | $346.74 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $104.71 Typical High $204.17 | Professional | 26 · Professional part | $66.07 | $104.71 | $204.17 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $74.13 Typical High $144.54 | Professional | TC · Technical part | $51.29 | $74.13 | $144.54 |
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 $147.91 Median $165.96 Typical High $204.17 | Professional | None (both parts) | $147.91 | $165.96 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $123.03 | Professional | 26 · Professional part | $89.13 | $100.00 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $67.61 Typical High $83.18 | Professional | TC · Technical part | $60.26 | $67.61 | $83.18 |
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 $79.43 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $79.43 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $31.62 | $32.36 | $32.36 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Where Michigan sits
The same service costs 3.6 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
$170
AK $380TX $105
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.