How much rates vary
Facilitymedian $1,318 · 10th to 90th $871 to $2,818Professionalmedian $1,047 · 10th to 90th $324 to $1,380
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 $1,047.13 Median $1,096.48 Typical High $1,380.38 | Facility | None | $1,047.13 | $1,096.48 | $1,380.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $1,047.13 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $223.87 Typical High $229.09 | Professional | 26 · Professional part | $218.78 | $223.87 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $891.25 Typical High $891.25 | Professional | TC · Technical part | $812.83 | $891.25 | $891.25 |
BCBS Michigan Setting Facility Modifier None Typical Low $870.96 Median $1,288.25 Typical High $2,187.76 | Facility | None | $870.96 | $1,288.25 | $2,187.76 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $309.03 Median $323.59 Typical High $346.74 | Professional | None (both parts) | $309.03 | $323.59 | $346.74 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $346.74 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,288.25 Typical High $3,388.44 | Professional | None (both parts) | $831.76 | $1,288.25 | $3,388.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $257.04 Typical High $616.60 | Professional | 26 · Professional part | $165.96 | $257.04 | $616.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,023.29 Typical High $2,754.23 | Professional | TC · Technical part | $691.83 | $1,023.29 | $2,754.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,148.15 Median $2,570.40 Typical High $3,019.95 | Facility | None | $1,148.15 | $2,570.40 | $3,019.95 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $549.54 Median $1,174.90 Typical High $1,380.38 | Professional | None (both parts) | $549.54 | $1,174.90 | $1,380.38 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $245.47 Typical High $288.40 | Professional | 26 · Professional part | $208.93 | $245.47 | $288.40 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $912.01 Typical High $1,096.48 | Professional | TC · Technical part | $831.76 | $912.01 | $1,096.48 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,288.25 Typical High $1,949.84 | Professional | None (both parts) | $831.76 | $1,288.25 | $1,949.84 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $257.04 Typical High $426.58 | Professional | 26 · Professional part | $165.96 | $257.04 | $426.58 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,023.29 Typical High $1,621.81 | Professional | TC · Technical part | $691.83 | $1,023.29 | $1,621.81 |
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 $512.86 Median $1,258.93 Typical High $1,949.84 | Professional | None (both parts) | $512.86 | $1,258.93 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $234.42 Typical High $275.42 | Professional | 26 · Professional part | $194.98 | $234.42 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $1,000.00 Typical High $1,698.24 | Professional | TC · Technical part | $338.84 | $1,000.00 | $1,698.24 |
8 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 $512.86 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $512.86 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $208.93 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $154.88 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $104.71 | $109.65 | $109.65 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $588.84 | $588.84 | $588.84 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $234.42 | $234.42 | $234.42 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $173.78 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $117.49 |
Where Michigan sits
The same service costs 11.2 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· 34th of 51
$1,072
AK $3,020KY $269
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.