How much rates vary
Facilitymedian $11 · 10th to 90th $9 to $30Professionalmedian $10 · 10th to 90th $8 to $14
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 $10.00 Median $10.00 Typical High $15.49 | Facility | None | $10.00 | $10.00 | $15.49 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $5.01 Median $5.01 Typical High $7.76 | Facility | 52 · Reduced service | $5.01 | $5.01 | $7.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $3.09 | Facility | 53 · Discontinued | $2.00 | $2.00 | $3.09 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $10.72 Typical High $13.49 | Professional | None | $8.71 | $10.72 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.47 Median $5.01 Typical High $5.37 | Professional | 52 · Reduced service | $4.47 | $5.01 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $2.04 Typical High $2.14 | Professional | 53 · Discontinued | $1.78 | $2.04 | $2.14 |
BCBS Michigan Setting Facility Modifier None Typical Low $7.94 Median $11.22 Typical High $19.50 | Facility | None | $7.94 | $11.22 | $19.50 |
BCBS Michigan Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $12.88 | Professional | None | $7.94 | $7.94 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $7.59 Typical High $15.14 | Professional | None | $6.17 | $7.59 | $15.14 |
Health Alliance Plan Setting Facility Modifier None Typical Low $10.00 Median $10.96 Typical High $39.81 | Facility | None | $10.00 | $10.96 | $39.81 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $5.01 Median $5.01 Typical High $7.76 | Facility | 52 · Reduced service | $5.01 | $5.01 | $7.76 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $3.09 | Facility | 53 · Discontinued | $2.00 | $2.00 | $3.09 |
Health Alliance Plan Setting Professional Modifier None Typical Low $10.00 Median $12.59 Typical High $16.60 | Professional | None | $10.00 | $12.59 | $16.60 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.01 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.00 |
Health Alliance Plan Setting Professional Modifier QW · Waived lab test Typical Low $10.47 Median $11.22 Typical High $15.85 | Professional | QW · Waived lab test | $10.47 | $11.22 | $15.85 |
Priority Health Setting Professional Modifier None Typical Low $6.17 Median $7.41 Typical High $12.30 | Professional | None | $6.17 | $7.41 | $12.30 |
United Setting Facility Modifier None Typical Low $6.31 Median $9.33 Typical High $12.59 | Facility | None | $6.31 | $9.33 | $12.59 |
United Setting Professional Modifier None Typical Low $4.37 Median $7.76 Typical High $13.18 | Professional | None | $4.37 | $7.76 | $13.18 |
2 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 |
|---|---|---|---|---|---|
Health Alliance Plan Setting Facility Modifier 59 · Distinct service Typical Low $15.85 Median $52.48 Typical High $100.00 | Facility | 59 · Distinct service | $15.85 | $52.48 | $100.00 |
Health Alliance Plan Setting Facility Modifier XU · Unusual separate service Typical Low $10.00 Median $25.12 Typical High $51.29 | Facility | XU · Unusual separate service | $10.00 | $25.12 | $51.29 |
Where Michigan sits
The same service costs 5.6 times more in Minnesota than in New Jersey. 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
$10.47
MN $41.69NJ $7.41
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.