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 $32.36 Median $41.69 Typical High $109.65 | Facility | None | $32.36 | $41.69 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $81.28 Typical High $107.15 | Professional | None | $25.70 | $81.28 | $107.15 |
Ambetter Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
BCBS Michigan Setting Facility Modifier None Typical Low $154.88 Median $199.53 Typical High $446.68 | Facility | None | $154.88 | $199.53 | $446.68 |
BCBS Michigan Setting Professional Modifier None Typical Low $7.08 Median $38.02 Typical High $138.04 | Professional | None | $7.08 | $38.02 | $138.04 |
CareSource Setting Professional Modifier None Typical Low $75.86 Median $79.43 Typical High $107.15 | Professional | None | $75.86 | $79.43 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $63.10 Typical High $120.23 | Professional | None | $19.05 | $63.10 | $120.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $34.67 Median $173.78 Typical High $524.81 | Facility | None | $34.67 | $173.78 | $524.81 |
Health Alliance Plan Setting Professional Modifier None Typical Low $31.62 Median $75.86 Typical High $114.82 | Professional | None | $31.62 | $75.86 | $114.82 |
Priority Health Setting Professional Modifier None Typical Low $19.05 Median $63.10 Typical High $107.15 | Professional | None | $19.05 | $63.10 | $107.15 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,202.26 | Facility | None | $91.20 | $177.83 | $1,202.26 |
United Setting Professional Modifier None Typical Low $15.49 Median $60.26 Typical High $109.65 | Professional | None | $15.49 | $60.26 | $109.65 |
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 $57.54 Median $208.93 Typical High $208.93 | Professional | 50 · Both sides | $57.54 | $208.93 | $208.93 |
Where Michigan sits
The same service costs 4.2 times more in Alaska than in Virginia. 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· 40th of 51
$58.88
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.