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 $14.45 Median $14.45 Typical High $22.39 | Facility | None | $14.45 | $14.45 | $22.39 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $7.24 Median $7.24 Typical High $11.22 | Facility | 52 · Reduced service | $7.24 | $7.24 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $15.14 Typical High $19.95 | Professional | None | $12.30 | $15.14 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $7.24 Typical High $7.59 | Professional | 52 · Reduced service | $6.46 | $7.24 | $7.59 |
Ambetter Setting Professional Modifier None Typical Low $7.59 Median $12.02 Typical High $12.02 | Professional | None | $7.59 | $12.02 | $12.02 |
BCBS Michigan Setting Facility Modifier None Typical Low $11.22 Median $15.85 Typical High $28.18 | Facility | None | $11.22 | $15.85 | $28.18 |
BCBS Michigan Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $12.30 Typical High $21.88 | Professional | None | $9.55 | $12.30 | $21.88 |
Health Alliance Plan Setting Facility Modifier None Typical Low $14.45 Median $54.95 Typical High $128.82 | Facility | None | $14.45 | $54.95 | $128.82 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $7.24 Median $7.24 Typical High $11.22 | Facility | 52 · Reduced service | $7.24 | $7.24 | $11.22 |
Health Alliance Plan Setting Professional Modifier None Typical Low $12.30 Median $15.49 Typical High $28.18 | Professional | None | $12.30 | $15.49 | $28.18 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 52 · Reduced service | $7.24 | $7.24 | $7.24 |
Priority Health Setting Professional Modifier None Typical Low $9.55 Median $15.14 Typical High $19.50 | Professional | None | $9.55 | $15.14 | $19.50 |
United Setting Facility Modifier None Typical Low $9.12 Median $13.49 Typical High $18.20 | Facility | None | $9.12 | $13.49 | $18.20 |
United Setting Professional Modifier None Typical Low $6.31 Median $12.30 Typical High $19.50 | Professional | None | $6.31 | $12.30 | $19.50 |
3 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 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $4.47 | Facility | 53 · Discontinued | $2.88 | $2.88 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.88 Typical High $3.02 | Professional | 53 · Discontinued | $2.57 | $2.88 | $3.02 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $2.88 | $2.88 | $2.88 |
Where Michigan sits
The same service costs 7.4 times more in Vermont than in Illinois. 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· 29th of 51
$15.49
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.