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 $16.60 Median $16.60 Typical High $25.70 | Facility | None | $16.60 | $16.60 | $25.70 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $8.13 Median $8.13 Typical High $12.88 | Facility | 52 · Reduced service | $8.13 | $8.13 | $12.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $5.13 | Facility | 53 · Discontinued | $3.31 | $3.31 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $16.60 Typical High $20.89 | Professional | None | $14.79 | $16.60 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $8.32 Typical High $8.71 | Professional | 52 · Reduced service | $7.41 | $8.32 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.31 Typical High $3.47 | Professional | 53 · Discontinued | $2.95 | $3.31 | $3.47 |
BCBS Michigan Setting Facility Modifier None Typical Low $12.88 Median $22.91 Typical High $53.70 | Facility | None | $12.88 | $22.91 | $53.70 |
BCBS Michigan Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $10.47 Typical High $43.65 | Professional | None | $8.13 | $10.47 | $43.65 |
Health Alliance Plan Setting Facility Modifier None Typical Low $13.80 Median $23.99 Typical High $89.13 | Facility | None | $13.80 | $23.99 | $89.13 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $8.13 Median $8.13 Typical High $12.88 | Facility | 52 · Reduced service | $8.13 | $8.13 | $12.88 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $5.13 | Facility | 53 · Discontinued | $3.31 | $3.31 | $5.13 |
Health Alliance Plan Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $24.55 | Professional | None | $12.02 | $17.38 | $24.55 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 52 · Reduced service | $8.13 | $8.13 | $8.13 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | 53 · Discontinued | $3.31 | $3.31 | $3.31 |
Priority Health Setting Professional Modifier None Typical Low $8.13 Median $10.23 Typical High $20.89 | Professional | None | $8.13 | $10.23 | $20.89 |
United Setting Facility Modifier None Typical Low $10.47 Median $15.49 Typical High $20.89 | Facility | None | $10.47 | $15.49 | $20.89 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.72 Typical High $18.20 | Professional | None | $7.24 | $10.72 | $18.20 |
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 $16.60 Median $17.38 Typical High $23.44 | Professional | QW · Waived lab test | $16.60 | $17.38 | $23.44 |
Where Michigan sits
The same service costs 20.4 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· 29th of 51
$16.60
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.