How much rates vary
Facilitymedian $468 · 10th to 90th $204 to $955Professionalmedian $191 · 10th to 90th $158 to $234
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 $158.49 Typical High $169.82 | Facility | None | $158.49 | $158.49 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $177.83 | Professional | None (both parts) | $158.49 | $165.96 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.20 Typical High $31.62 | Professional | 26 · Professional part | $29.51 | $30.20 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $138.04 Typical High $147.91 | Professional | TC · Technical part | $128.82 | $138.04 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $24.55 | $24.55 | $24.55 |
BCBS Michigan Setting Facility Modifier None Typical Low $245.47 Median $588.84 Typical High $1,148.15 | Facility | None | $245.47 | $588.84 | $1,148.15 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $181.97 Median $234.42 Typical High $251.19 | Professional | None (both parts) | $181.97 | $234.42 | $251.19 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $204.17 | $204.17 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $426.58 | Professional | None (both parts) | $131.83 | $177.83 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $33.11 Typical High $85.11 | Professional | 26 · Professional part | $21.38 | $33.11 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $141.25 Typical High $338.84 | Professional | TC · Technical part | $114.82 | $141.25 | $338.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $467.74 | Facility | None | $199.53 | $436.52 | $467.74 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $162.18 Median $199.53 Typical High $218.78 | Professional | None (both parts) | $162.18 | $199.53 | $218.78 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $37.15 | Professional | 26 · Professional part | $26.30 | $33.11 | $37.15 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $165.96 Typical High $186.21 | Professional | TC · Technical part | $134.90 | $165.96 | $186.21 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $131.83 | $173.78 | $338.84 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $21.38 | $33.11 | $57.54 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $275.42 | Professional | TC · Technical part | $109.65 | $131.83 | $275.42 |
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 $112.20 Median $151.36 Typical High $204.17 | Professional | None (both parts) | $112.20 | $151.36 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $36.31 | Professional | 26 · Professional part | $26.92 | $30.90 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $120.23 Typical High $169.82 | Professional | TC · Technical part | $85.11 | $120.23 | $169.82 |
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 $83.18 Typical High $85.11 | Professional | 52 · Reduced service | $79.43 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $31.62 | $33.88 | $33.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $100.00 | $100.00 | $100.00 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $39.81 | $39.81 | $39.81 |
Where Michigan sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 19th of 51
$195
AK $347NM $120
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.