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 $10.96 Median $10.96 Typical High $16.98 | Facility | None | $10.96 | $10.96 | $16.98 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $5.50 Median $5.50 Typical High $8.51 | Facility | 52 · Reduced service | $5.50 | $5.50 | $8.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $3.39 | Facility | 53 · Discontinued | $2.19 | $2.19 | $3.39 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $11.22 Typical High $14.79 | Professional | None | $9.77 | $11.22 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $5.50 Typical High $5.89 | Professional | 52 · Reduced service | $4.90 | $5.50 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.19 Typical High $2.34 | Professional | 53 · Discontinued | $1.95 | $2.19 | $2.34 |
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 $7.41 Median $9.12 Typical High $16.60 | Professional | None | $7.41 | $9.12 | $16.60 |
Health Alliance Plan Setting Facility Modifier None Typical Low $8.51 Median $12.88 Typical High $69.18 | Facility | None | $8.51 | $12.88 | $69.18 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $5.50 Median $5.50 Typical High $8.51 | Facility | 52 · Reduced service | $5.50 | $5.50 | $8.51 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $3.39 | Facility | 53 · Discontinued | $2.19 | $2.19 | $3.39 |
Health Alliance Plan Setting Professional Modifier None Typical Low $10.00 Median $12.30 Typical High $20.89 | Professional | None | $10.00 | $12.30 | $20.89 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | 52 · Reduced service | $5.50 | $5.50 | $5.50 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.19 |
Priority Health Setting Professional Modifier None Typical Low $7.41 Median $8.91 Typical High $14.13 | Professional | None | $7.41 | $8.91 | $14.13 |
United Setting Facility Modifier None Typical Low $6.92 Median $10.47 Typical High $13.80 | Facility | None | $6.92 | $10.47 | $13.80 |
United Setting Professional Modifier None Typical Low $4.79 Median $9.55 Typical High $15.14 | Professional | None | $4.79 | $9.55 | $15.14 |
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 |
|---|---|---|---|---|---|
Health Alliance Plan Setting Professional Modifier QW · Waived lab test Typical Low $11.48 Median $13.80 Typical High $18.20 | Professional | QW · Waived lab test | $11.48 | $13.80 | $18.20 |
Where Michigan sits
The same service costs 5.2 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· 39th of 51
$10.96
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.