How much rates vary
Facilitymedian $214 · 10th to 90th $89 to $407Professionalmedian $93 · 10th to 90th $79 to $132
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 $85.11 Median $85.11 Typical High $89.13 | Facility | None | $85.11 | $85.11 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $85.11 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $33.88 | $34.67 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $50.12 | $53.70 | $53.70 |
BCBS Michigan Setting Facility Modifier None Typical Low $107.15 Median $251.19 Typical High $501.19 | Facility | None | $107.15 | $251.19 | $501.19 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $83.18 Median $131.83 Typical High $141.25 | Professional | None (both parts) | $83.18 | $131.83 | $141.25 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $93.33 Typical High $257.04 | Professional | None (both parts) | $66.07 | $93.33 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $37.15 Typical High $93.33 | Professional | 26 · Professional part | $23.44 | $37.15 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $58.88 Typical High $162.18 | Professional | TC · Technical part | $41.69 | $58.88 | $162.18 |
Health Alliance Plan Setting Facility Modifier None Typical Low $93.33 Median $213.80 Typical High $234.42 | Facility | None | $93.33 | $213.80 | $234.42 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $109.65 | Professional | None (both parts) | $79.43 | $93.33 | $109.65 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $41.69 | Professional | 26 · Professional part | $29.51 | $36.31 | $41.69 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $57.54 Typical High $66.07 | Professional | TC · Technical part | $48.98 | $57.54 | $66.07 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $93.33 Typical High $162.18 | Professional | None (both parts) | $66.07 | $93.33 | $162.18 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $37.15 Typical High $61.66 | Professional | 26 · Professional part | $23.44 | $37.15 | $61.66 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $57.54 Typical High $112.20 | Professional | TC · Technical part | $41.69 | $57.54 | $112.20 |
United Setting Facility Modifier None Typical Low $60.26 Median $79.43 Typical High $165.96 | Facility | None | $60.26 | $79.43 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $83.18 Typical High $102.33 | Professional | None (both parts) | $64.57 | $83.18 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $40.74 | Professional | 26 · Professional part | $28.84 | $35.48 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $51.29 Typical High $61.66 | Professional | TC · Technical part | $34.67 | $51.29 | $61.66 |
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 $42.66 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $42.66 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $16.98 | $17.78 | $17.78 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Where Michigan sits
The same service costs 3.0 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· 24th of 51
$93.33
AK $204TX $69.18
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.