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 $9.77 Median $9.77 Typical High $13.18 | Facility | None | $9.77 | $9.77 | $13.18 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $4.79 Median $4.79 Typical High $7.59 | Facility | 52 · Reduced service | $4.79 | $4.79 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $10.23 Typical High $13.49 | Professional | None | $8.71 | $10.23 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.90 Typical High $5.13 | Professional | 52 · Reduced service | $4.37 | $4.90 | $5.13 |
Ambetter Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $7.59 | Professional | None | $6.92 | $6.92 | $7.59 |
BCBS Michigan Setting Facility Modifier None Typical Low $7.59 Median $10.96 Typical High $19.05 | Facility | None | $7.59 | $10.96 | $19.05 |
BCBS Michigan Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $8.32 Typical High $14.45 | Professional | None | $6.46 | $8.32 | $14.45 |
Health Alliance Plan Setting Facility Modifier None Typical Low $9.77 Median $41.69 Typical High $125.89 | Facility | None | $9.77 | $41.69 | $125.89 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $4.79 Median $4.79 Typical High $7.59 | Facility | 52 · Reduced service | $4.79 | $4.79 | $7.59 |
Health Alliance Plan Setting Professional Modifier None Typical Low $8.71 Median $12.02 Typical High $16.60 | Professional | None | $8.71 | $12.02 | $16.60 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 52 · Reduced service | $4.79 | $4.79 | $4.79 |
Priority Health Setting Professional Modifier None Typical Low $6.46 Median $10.23 Typical High $13.18 | Professional | None | $6.46 | $10.23 | $13.18 |
United Setting Facility Modifier None Typical Low $6.17 Median $9.12 Typical High $12.30 | Facility | None | $6.17 | $9.12 | $12.30 |
United Setting Professional Modifier None Typical Low $4.27 Median $7.41 Typical High $13.18 | Professional | None | $4.27 | $7.41 | $13.18 |
3 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 $1.95 Median $1.95 Typical High $3.02 | Facility | 53 · Discontinued | $1.95 | $1.95 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.95 Typical High $2.04 | Professional | 53 · Discontinued | $1.74 | $1.95 | $2.04 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | 53 · Discontinued | $1.95 | $1.95 | $1.95 |
Where Michigan sits
The same service costs 26.9 times more in Vermont than in Alabama. 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· 28th 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.