How much rates vary
Facilitymedian $479 · 10th to 90th $115 to $891Professionalmedian $132 · 10th to 90th $95 to $331
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $52.48 | $53.70 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $67.61 | $67.61 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
BCBS Michigan Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $51.29 Median $123.03 Typical High $173.78 | Professional | None (both parts) | $51.29 | $123.03 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $251.19 | Professional | None (both parts) | $69.18 | $69.18 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $100.00 | Professional | 26 · Professional part | $30.20 | $30.20 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $147.91 | Professional | TC · Technical part | $38.90 | $38.90 | $147.91 |
Health Alliance Plan Setting Facility Modifier None Typical Low $114.82 Median $794.33 Typical High $891.25 | Facility | None | $114.82 | $794.33 | $891.25 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $114.82 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $114.82 | $218.78 | $398.11 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $83.18 Typical High $109.65 | Professional | 26 · Professional part | $50.12 | $83.18 | $109.65 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $120.23 Typical High $158.49 | Professional | TC · Technical part | $64.57 | $120.23 | $158.49 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $245.47 | Professional | None (both parts) | $69.18 | $69.18 | $245.47 |
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 $190.55 Typical High $251.19 | Professional | None (both parts) | $131.83 | $190.55 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $87.10 Typical High $104.71 | Professional | 26 · Professional part | $58.88 | $87.10 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $107.15 Typical High $147.91 | Professional | TC · Technical part | $74.13 | $107.15 | $147.91 |
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 3.2 times more in Nebraska than in Mississippi. 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· 35th of 51
$138
NE $331MS $105
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.