How much rates vary
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 $51.29 Median $213.80 Typical High $4,897.79 | Facility | None | $51.29 | $213.80 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $134.90 Typical High $213.80 | Professional | None | $44.67 | $134.90 | $213.80 |
Ambetter Setting Professional Modifier None Typical Low $40.74 Median $134.90 Typical High $165.96 | Professional | None | $40.74 | $134.90 | $165.96 |
BCBS Michigan Setting Facility Modifier None Typical Low $323.59 Median $512.86 Typical High $1,122.02 | Facility | None | $323.59 | $512.86 | $1,122.02 |
BCBS Michigan Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $302.00 | Professional | None | $52.48 | $79.43 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $141.25 Typical High $309.03 | Professional | None | $41.69 | $141.25 | $309.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $213.80 Median $524.81 Typical High $3,090.30 | Facility | None | $213.80 | $524.81 | $3,090.30 |
Health Alliance Plan Setting Professional Modifier None Typical Low $52.48 Median $158.49 Typical High $239.88 | Professional | None | $52.48 | $158.49 | $239.88 |
Priority Health Setting Professional Modifier None Typical Low $41.69 Median $141.25 Typical High $251.19 | Professional | None | $41.69 | $141.25 | $251.19 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,288.25 Typical High $2,089.30 | Facility | None | $302.00 | $1,288.25 | $2,089.30 |
United Setting Professional Modifier None Typical Low $47.86 Median $141.25 Typical High $194.98 | Professional | None | $47.86 | $141.25 | $194.98 |
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 50 · Both sides Typical Low $85.11 Median $85.11 Typical High $446.68 | Professional | 50 · Both sides | $85.11 | $85.11 | $446.68 |
Where Michigan sits
The same service costs 5.5 times more in Washington than in Indiana. 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· 37th of 51
$117
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.