How much rates vary
Facilitymedian $234 · 10th to 90th $112 to $537Professionalmedian $117 · 10th to 90th $68 to $245
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 $107.15 Median $112.20 Typical High $141.25 | Facility | None | $107.15 | $112.20 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $117.49 | Professional | None (both parts) | $97.72 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $39.81 | Professional | 26 · Professional part | $35.48 | $38.02 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $74.13 Typical High $77.62 | Professional | TC · Technical part | $64.57 | $74.13 | $77.62 |
BCBS Michigan Setting Facility Modifier None Typical Low $154.88 Median $338.84 Typical High $676.08 | Facility | None | $154.88 | $338.84 | $676.08 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $112.20 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $112.20 | $165.96 | $245.47 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $120.23 | $120.23 | $120.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $31.62 Median $81.28 Typical High $123.03 | Professional | None (both parts) | $31.62 | $81.28 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $107.15 Typical High $275.42 | Professional | None (both parts) | $75.86 | $107.15 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $40.74 Typical High $102.33 | Professional | 26 · Professional part | $26.30 | $40.74 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $64.57 Typical High $173.78 | Professional | TC · Technical part | $37.15 | $64.57 | $173.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $112.20 Median $199.53 Typical High $363.08 | Facility | None | $112.20 | $199.53 | $363.08 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $67.61 Median $102.33 Typical High $120.23 | Professional | None (both parts) | $67.61 | $102.33 | $120.23 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $39.81 Typical High $46.77 | Professional | 26 · Professional part | $33.11 | $39.81 | $46.77 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $58.88 Typical High $79.43 | Professional | TC · Technical part | $35.48 | $58.88 | $79.43 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $107.15 Typical High $186.21 | Professional | None (both parts) | $75.86 | $107.15 | $186.21 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $26.30 | $40.74 | $70.79 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $64.57 Typical High $125.89 | Professional | TC · Technical part | $37.15 | $64.57 | $125.89 |
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 $56.23 Median $87.10 Typical High $112.20 | Professional | None (both parts) | $56.23 | $87.10 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $45.71 | Professional | 26 · Professional part | $33.88 | $38.90 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $51.29 Typical High $70.79 | Professional | TC · Technical part | $21.38 | $51.29 | $70.79 |
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 $53.70 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $53.70 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $21.38 | $22.39 | $22.39 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $60.26 | $60.26 | $60.26 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $23.99 | $23.99 | $23.99 |
Where Michigan sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 16th of 51
$120
AK $229KY $64.57
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.