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 $4.07 Median $4.07 Typical High $6.31 | Facility | None | $4.07 | $4.07 | $6.31 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $2.04 Median $2.04 Typical High $3.16 | Facility | 52 · Reduced service | $2.04 | $2.04 | $3.16 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $1.26 | Facility | 53 · Discontinued | $0.81 | $0.81 | $1.26 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $4.07 Typical High $5.01 | Professional | None | $3.63 | $4.07 | $5.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.82 Median $2.04 Typical High $2.14 | Professional | 52 · Reduced service | $1.82 | $2.04 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.81 Typical High $0.85 | Professional | 53 · Discontinued | $0.72 | $0.81 | $0.85 |
Ambetter Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | None | $2.88 | $2.88 | $2.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $3.24 Median $4.79 Typical High $8.91 | Facility | None | $3.24 | $4.79 | $8.91 |
BCBS Michigan Setting Professional Modifier None Typical Low $3.02 Median $3.24 Typical High $3.55 | Professional | None | $3.02 | $3.24 | $3.55 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $3.47 Typical High $6.17 | Professional | None | $2.69 | $3.47 | $6.17 |
Health Alliance Plan Setting Facility Modifier None Typical Low $4.07 Median $6.76 Typical High $54.95 | Facility | None | $4.07 | $6.76 | $54.95 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $2.04 Median $2.04 Typical High $3.16 | Facility | 52 · Reduced service | $2.04 | $2.04 | $3.16 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $1.26 | Facility | 53 · Discontinued | $0.81 | $0.81 | $1.26 |
Health Alliance Plan Setting Professional Modifier None Typical Low $3.72 Median $5.13 Typical High $7.59 | Professional | None | $3.72 | $5.13 | $7.59 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | 52 · Reduced service | $2.04 | $2.04 | $2.04 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | 53 · Discontinued | $0.81 | $0.81 | $0.81 |
Priority Health Setting Professional Modifier None Typical Low $2.69 Median $4.27 Typical High $5.50 | Professional | None | $2.69 | $4.27 | $5.50 |
United Setting Facility Modifier None Typical Low $2.57 Median $3.89 Typical High $10.47 | Facility | None | $2.57 | $3.89 | $10.47 |
United Setting Professional Modifier None Typical Low $1.82 Median $3.47 Typical High $5.62 | Professional | None | $1.82 | $3.47 | $5.62 |
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 Facility Modifier 91 · Repeat lab test Typical Low $4.27 Median $17.38 Typical High $64.57 | Facility | 91 · Repeat lab test | $4.27 | $17.38 | $64.57 |
Where Michigan sits
The same service costs 3.6 times more in Kansas 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· 29th of 51
$4.27
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.