How much rates vary
Facilitymedian $437 · 10th to 90th $182 to $851Professionalmedian $170 · 10th to 90th $145 to $209
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 $144.54 Median $144.54 Typical High $154.88 | Facility | None | $144.54 | $144.54 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $162.18 | Professional | None (both parts) | $144.54 | $154.88 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $30.20 | Professional | 26 · Professional part | $28.84 | $28.84 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $123.03 Typical High $131.83 | Professional | TC · Technical part | $117.49 | $123.03 | $131.83 |
BCBS Michigan Setting Facility Modifier None Typical Low $218.78 Median $512.86 Typical High $1,023.29 | Facility | None | $218.78 | $512.86 | $1,023.29 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $169.82 Median $208.93 Typical High $223.87 | Professional | None (both parts) | $169.82 | $208.93 | $223.87 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $181.97 | $181.97 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $407.38 | Professional | None (both parts) | $125.89 | $162.18 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $32.36 Typical High $79.43 | Professional | 26 · Professional part | $20.89 | $32.36 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $128.82 Typical High $323.59 | Professional | TC · Technical part | $97.72 | $128.82 | $323.59 |
Health Alliance Plan Setting Facility Modifier None Typical Low $173.78 Median $416.87 Typical High $457.09 | Facility | None | $173.78 | $416.87 | $457.09 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $154.88 Median $173.78 Typical High $208.93 | Professional | None (both parts) | $154.88 | $173.78 | $208.93 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $37.15 | Professional | 26 · Professional part | $26.92 | $31.62 | $37.15 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $141.25 Typical High $173.78 | Professional | TC · Technical part | $128.82 | $141.25 | $173.78 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $123.03 | $158.49 | $309.03 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $32.36 Typical High $57.54 | Professional | 26 · Professional part | $20.89 | $32.36 | $57.54 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $123.03 Typical High $251.19 | Professional | TC · Technical part | $93.33 | $123.03 | $251.19 |
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 $109.65 Median $144.54 Typical High $181.97 | Professional | None (both parts) | $109.65 | $144.54 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $35.48 | Professional | 26 · Professional part | $26.30 | $30.90 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $147.91 | Professional | TC · Technical part | $83.18 | $117.49 | $147.91 |
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 $72.44 Median $75.86 Typical High $77.62 | Professional | 52 · Reduced service | $72.44 | $75.86 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $29.51 | $30.90 | $30.90 |
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 3.2 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· 23rd of 51
$170
AK $324TX $102
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.