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 $7.94 Median $8.13 Typical High $10.96 | Facility | None | $7.94 | $8.13 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $8.51 Typical High $11.22 | Professional | None | $7.24 | $8.51 | $11.22 |
Ambetter Setting Professional Modifier None Typical Low $4.27 Median $5.13 Typical High $5.75 | Professional | None | $4.27 | $5.13 | $5.75 |
BCBS Michigan Setting Facility Modifier None Typical Low $8.71 Median $12.30 Typical High $21.38 | Facility | None | $8.71 | $12.30 | $21.38 |
BCBS Michigan Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $6.61 Typical High $11.75 | Professional | None | $5.37 | $6.61 | $11.75 |
Health Alliance Plan Setting Facility Modifier None Typical Low $8.51 Median $61.66 Typical High $223.87 | Facility | None | $8.51 | $61.66 | $223.87 |
Health Alliance Plan Setting Professional Modifier None Typical Low $6.92 Median $9.33 Typical High $18.20 | Professional | None | $6.92 | $9.33 | $18.20 |
Priority Health Setting Professional Modifier None Typical Low $5.37 Median $6.46 Typical High $10.23 | Professional | None | $5.37 | $6.46 | $10.23 |
United Setting Facility Modifier None Typical Low $2.88 Median $7.59 Typical High $10.23 | Facility | None | $2.88 | $7.59 | $10.23 |
United Setting Professional Modifier None Typical Low $3.55 Median $6.92 Typical High $10.96 | Professional | None | $3.55 | $6.92 | $10.96 |
7 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $3.98 Median $3.98 Typical High $6.31 | Facility | 52 · Reduced service | $3.98 | $3.98 | $6.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $2.51 | Facility | 53 · Discontinued | $1.62 | $1.62 | $2.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.63 Median $4.07 Typical High $4.27 | Professional | 52 · Reduced service | $3.63 | $4.07 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.62 Typical High $1.70 | Professional | 53 · Discontinued | $1.45 | $1.62 | $1.70 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | 52 · Reduced service | $3.98 | $3.98 | $3.98 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | 53 · Discontinued | $1.62 | $1.62 | $1.62 |
Health Alliance Plan Setting Professional Modifier QW · Waived lab test Typical Low $8.51 Median $10.00 Typical High $15.14 | Professional | QW · Waived lab test | $8.51 | $10.00 | $15.14 |
Where Michigan sits
The same service costs 14.8 times more in Minnesota than in Maryland. 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· 17th of 51
$11.22
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.