How much rates vary
Facilitymedian $1,862 · 10th to 90th $891 to $4,169Professionalmedian $759 · 10th to 90th $407 to $1,175
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 $741.31 Median $741.31 Typical High $794.33 | Facility | None | $741.31 | $741.31 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $676.08 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $245.47 Typical High $251.19 | Professional | 26 · Professional part | $239.88 | $245.47 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $446.68 | $537.03 | $537.03 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,148.15 Median $2,511.89 Typical High $5,011.87 | Facility | None | $1,148.15 | $2,511.89 | $5,011.87 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $331.13 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $331.13 | $1,174.90 | $1,174.90 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $371.54 | $371.54 | $371.54 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | TC · Technical part | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $691.83 Typical High $1,819.70 | Professional | None (both parts) | $457.09 | $691.83 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $269.15 Typical High $676.08 | Professional | 26 · Professional part | $169.82 | $269.15 | $676.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $446.68 Typical High $1,174.90 | Professional | TC · Technical part | $275.42 | $446.68 | $1,174.90 |
Health Alliance Plan Setting Facility Modifier None Typical Low $758.58 Median $1,318.26 Typical High $1,412.54 | Facility | None | $758.58 | $1,318.26 | $1,412.54 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $478.63 Median $707.95 Typical High $758.58 | Professional | None (both parts) | $478.63 | $707.95 | $758.58 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $257.04 Typical High $295.12 | Professional | 26 · Professional part | $208.93 | $257.04 | $295.12 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $426.58 Typical High $501.19 | Professional | TC · Technical part | $269.15 | $426.58 | $501.19 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $691.83 Typical High $1,288.25 | Professional | None (both parts) | $478.63 | $691.83 | $1,288.25 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $269.15 Typical High $446.68 | Professional | 26 · Professional part | $169.82 | $269.15 | $446.68 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $446.68 Typical High $912.01 | Professional | TC · Technical part | $275.42 | $446.68 | $912.01 |
United Setting Facility Modifier None Typical Low $891.25 Median $1,148.15 Typical High $2,398.83 | Facility | None | $891.25 | $1,148.15 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $588.84 Typical High $724.44 | Professional | None (both parts) | $363.08 | $588.84 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $251.19 Typical High $295.12 | Professional | 26 · Professional part | $204.17 | $251.19 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $363.08 Typical High $426.58 | Professional | TC · Technical part | $158.49 | $363.08 | $426.58 |
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 $354.81 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $354.81 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $141.25 | $154.88 | $154.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $380.19 | $380.19 | $380.19 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $151.36 | $151.36 | $151.36 |
Where Michigan sits
The same service costs 3.2 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· 19th of 51
$759
AK $1,445KY $447
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.