How much rates vary
Facilitymedian $562 · 10th to 90th $151 to $794Professionalmedian $158 · 10th to 90th $102 to $302
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 $100.00 Median $102.33 Typical High $128.82 | Facility | None | $100.00 | $102.33 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $100.00 | $102.33 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $42.66 | $43.65 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $95.50 | Professional | TC · Technical part | $57.54 | $57.54 | $95.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $40.74 | $42.66 | $42.66 |
BCBS Michigan Setting Facility Modifier None Typical Low $263.03 Median $630.96 Typical High $1,230.27 | Facility | None | $263.03 | $630.96 | $1,230.27 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $102.33 Median $165.96 Typical High $173.78 | Professional | None (both parts) | $102.33 | $165.96 | $173.78 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $102.33 | $102.33 | $102.33 |
CareSource Setting Professional Modifier None (both parts) Typical Low $36.31 Median $64.57 Typical High $114.82 | Professional | None (both parts) | $36.31 | $64.57 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $288.40 | Professional | None (both parts) | $81.28 | $81.28 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $64.57 | Professional | 26 · Professional part | $35.48 | $35.48 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $70.79 | Professional | TC · Technical part | $46.77 | $46.77 | $70.79 |
Health Alliance Plan Setting Facility Modifier None Typical Low $154.88 Median $562.34 Typical High $724.44 | Facility | None | $154.88 | $562.34 | $724.44 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $112.20 Typical High $354.81 | Facility | TC · Technical part | $58.88 | $112.20 | $354.81 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $107.15 Median $181.97 Typical High $398.11 | Professional | None (both parts) | $107.15 | $181.97 | $398.11 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $83.18 Typical High $109.65 | Professional | 26 · Professional part | $45.71 | $83.18 | $109.65 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $120.23 Typical High $158.49 | Professional | TC · Technical part | $61.66 | $120.23 | $158.49 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $281.84 | Professional | None (both parts) | $81.28 | $81.28 | $281.84 |
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 $131.83 Median $223.87 Typical High $251.19 | Professional | None (both parts) | $131.83 | $223.87 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $107.15 | Professional | 26 · Professional part | $66.07 | $91.20 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $128.82 Typical High $151.36 | Professional | TC · Technical part | $67.61 | $128.82 | $151.36 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Michigan Setting Professional Modifier TG · Complex care level Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | TG · Complex care level | $173.78 | $173.78 | $173.78 |
Where Michigan sits
The same service costs 3.5 times more in Nebraska than in New Mexico. 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· 30th of 51
$166
NE $331NM $93.33
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.