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 $19.95 Median $20.42 Typical High $30.90 | Facility | None | $19.95 | $20.42 | $30.90 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $10.00 Median $10.00 Typical High $15.49 | Facility | 52 · Reduced service | $10.00 | $10.00 | $15.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $6.31 | Facility | 53 · Discontinued | $3.98 | $3.98 | $6.31 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $20.42 Typical High $25.12 | Professional | None | $16.98 | $20.42 | $25.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $10.23 Typical High $10.72 | Professional | 52 · Reduced service | $8.91 | $10.23 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.07 Typical High $4.27 | Professional | 53 · Discontinued | $3.63 | $4.07 | $4.27 |
BCBS Michigan Setting Facility Modifier None Typical Low $15.85 Median $22.39 Typical High $38.90 | Facility | None | $15.85 | $22.39 | $38.90 |
BCBS Michigan Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $12.59 Typical High $30.20 | Professional | None | $10.00 | $12.59 | $30.20 |
Health Alliance Plan Setting Facility Modifier None Typical Low $15.14 Median $20.89 Typical High $60.26 | Facility | None | $15.14 | $20.89 | $60.26 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $10.00 Median $10.00 Typical High $15.49 | Facility | 52 · Reduced service | $10.00 | $10.00 | $15.49 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $6.31 | Facility | 53 · Discontinued | $3.98 | $3.98 | $6.31 |
Health Alliance Plan Setting Professional Modifier None Typical Low $14.45 Median $20.42 Typical High $28.18 | Professional | None | $14.45 | $20.42 | $28.18 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $10.00 | $10.00 | $10.00 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $3.98 | $3.98 | $3.98 |
Priority Health Setting Professional Modifier None Typical Low $10.00 Median $20.89 Typical High $25.70 | Professional | None | $10.00 | $20.89 | $25.70 |
United Setting Facility Modifier None Typical Low $12.59 Median $19.05 Typical High $25.12 | Facility | None | $12.59 | $19.05 | $25.12 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.88 Typical High $21.88 | Professional | None | $8.91 | $12.88 | $21.88 |
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 90 · Outside lab Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 90 · Outside lab | $28.18 | $28.18 | $28.18 |
Where Michigan sits
The same service costs 6.6 times more in Vermont than in Kentucky. 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· 25th of 51
$19.95
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.