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 $5.01 Median $5.13 Typical High $6.76 | Facility | None | $5.01 | $5.13 | $6.76 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $2.51 Median $2.51 Typical High $3.89 | Facility | 52 · Reduced service | $2.51 | $2.51 | $3.89 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $5.37 Typical High $6.76 | Professional | None | $4.57 | $5.37 | $6.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.24 Median $2.51 Typical High $2.69 | Professional | 52 · Reduced service | $2.24 | $2.51 | $2.69 |
Ambetter Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | None | $4.27 | $4.27 | $4.27 |
BCBS Michigan Setting Facility Modifier None Typical Low $4.90 Median $7.41 Typical High $12.59 | Facility | None | $4.90 | $7.41 | $12.59 |
BCBS Michigan Setting Professional Modifier None Typical Low $1.07 Median $1.07 Typical High $1.07 | Professional | None | $1.07 | $1.07 | $1.07 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $4.07 Typical High $7.24 | Professional | None | $3.31 | $4.07 | $7.24 |
Health Alliance Plan Setting Facility Modifier None Typical Low $5.01 Median $11.48 Typical High $50.12 | Facility | None | $5.01 | $11.48 | $50.12 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $2.51 Median $2.51 Typical High $3.89 | Facility | 52 · Reduced service | $2.51 | $2.51 | $3.89 |
Health Alliance Plan Setting Professional Modifier None Typical Low $4.57 Median $5.89 Typical High $9.77 | Professional | None | $4.57 | $5.89 | $9.77 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 52 · Reduced service | $2.51 | $2.51 | $2.51 |
Priority Health Setting Professional Modifier None Typical Low $3.31 Median $4.07 Typical High $6.61 | Professional | None | $3.31 | $4.07 | $6.61 |
United Setting Facility Modifier None Typical Low $3.16 Median $4.79 Typical High $12.02 | Facility | None | $3.16 | $4.79 | $12.02 |
United Setting Professional Modifier None Typical Low $2.24 Median $4.27 Typical High $6.92 | Professional | None | $2.24 | $4.27 | $6.92 |
4 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 $1.00 Median $1.00 Typical High $1.58 | Facility | 53 · Discontinued | $1.00 | $1.00 | $1.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $1.02 Typical High $1.07 | Professional | 53 · Discontinued | $0.89 | $1.02 | $1.07 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.00 |
Health Alliance Plan Setting Professional Modifier QW · Waived lab test Typical Low $5.25 Median $6.31 Typical High $9.33 | Professional | QW · Waived lab test | $5.25 | $6.31 | $9.33 |
Where Michigan sits
The same service costs 9.3 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· 30th of 51
$5.37
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.