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 $16.98 Median $16.98 Typical High $26.30 | Facility | None | $16.98 | $16.98 | $26.30 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $8.51 Median $8.51 Typical High $13.18 | Facility | 52 · Reduced service | $8.51 | $8.51 | $13.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $5.37 | Facility | 53 · Discontinued | $3.39 | $3.39 | $5.37 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $17.38 Typical High $20.89 | Professional | None | $15.49 | $17.38 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $8.71 Typical High $9.12 | Professional | 52 · Reduced service | $7.59 | $8.71 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.47 Typical High $3.63 | Professional | 53 · Discontinued | $3.02 | $3.47 | $3.63 |
BCBS Michigan Setting Facility Modifier None Typical Low $13.49 Median $19.05 Typical High $33.11 | Facility | None | $13.49 | $19.05 | $33.11 |
BCBS Michigan Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $17.78 Typical High $25.70 | Professional | None | $9.77 | $17.78 | $25.70 |
Health Alliance Plan Setting Facility Modifier None Typical Low $16.98 Median $17.38 Typical High $56.23 | Facility | None | $16.98 | $17.38 | $56.23 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $8.51 Median $8.51 Typical High $13.18 | Facility | 52 · Reduced service | $8.51 | $8.51 | $13.18 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $5.37 | Facility | 53 · Discontinued | $3.39 | $3.39 | $5.37 |
Health Alliance Plan Setting Professional Modifier None Typical Low $16.98 Median $20.89 Typical High $25.12 | Professional | None | $16.98 | $20.89 | $25.12 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 52 · Reduced service | $8.51 | $8.51 | $8.51 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | 53 · Discontinued | $3.39 | $3.39 | $3.39 |
Priority Health Setting Professional Modifier None Typical Low $9.77 Median $17.78 Typical High $23.44 | Professional | None | $9.77 | $17.78 | $23.44 |
United Setting Facility Modifier None Typical Low $10.72 Median $16.22 Typical High $21.38 | Facility | None | $10.72 | $16.22 | $21.38 |
United Setting Professional Modifier None Typical Low $7.59 Median $13.18 Typical High $22.39 | Professional | None | $7.59 | $13.18 | $22.39 |
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 XU · Unusual separate service Typical Low $5.01 Median $26.30 Typical High $72.44 | Facility | XU · Unusual separate service | $5.01 | $26.30 | $72.44 |
Where Michigan sits
The same service costs 3.3 times more in Alaska than in Georgia. 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· 27th of 51
$16.98
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.