How much rates vary
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 $11.22 Median $11.22 Typical High $14.45 | Facility | None | $11.22 | $11.22 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $38.02 | Professional | None | $11.22 | $11.22 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $5.62 Typical High $18.62 | Professional | 52 · Reduced service | $5.62 | $5.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.29 Typical High $7.59 | Professional | 53 · Discontinued | $2.24 | $2.29 | $7.59 |
Health Alliance Plan Setting Facility Modifier None Typical Low $30.20 Median $288.40 Typical High $316.23 | Facility | None | $30.20 | $288.40 | $316.23 |
Health Alliance Plan Setting Professional Modifier None Typical Low $30.20 Median $112.20 Typical High $141.25 | Professional | None | $30.20 | $112.20 | $141.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $15.14 | $15.14 | $15.14 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.03 |
United Setting Professional Modifier None Typical Low $72.44 Median $104.71 Typical High $128.82 | Professional | None | $72.44 | $104.71 | $128.82 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | XS · Separate structure | $109.65 | $109.65 | $109.65 |
Where Michigan sits
The same service costs 19.1 times more in Nebraska than in Hawaii. 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· 8th of 51
$107
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.