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 $13.49 Median $13.80 Typical High $18.20 | Facility | None | $13.49 | $13.80 | $18.20 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $6.76 Median $6.76 Typical High $10.47 | Facility | 52 · Reduced service | $6.76 | $6.76 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $14.13 Typical High $18.62 | Professional | None | $12.30 | $14.13 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.92 Typical High $7.24 | Professional | 52 · Reduced service | $6.03 | $6.92 | $7.24 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $8.51 Typical High $34.67 | Professional | None | $6.03 | $8.51 | $34.67 |
BCBS Michigan Setting Facility Modifier None Typical Low $10.72 Median $15.14 Typical High $26.30 | Facility | None | $10.72 | $15.14 | $26.30 |
BCBS Michigan Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $11.22 Typical High $20.42 | Professional | None | $9.12 | $11.22 | $20.42 |
Health Alliance Plan Setting Facility Modifier None Typical Low $13.49 Median $45.71 Typical High $162.18 | Facility | None | $13.49 | $45.71 | $162.18 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $6.76 Median $6.76 Typical High $10.47 | Facility | 52 · Reduced service | $6.76 | $6.76 | $10.47 |
Health Alliance Plan Setting Professional Modifier None Typical Low $12.30 Median $16.60 Typical High $26.30 | Professional | None | $12.30 | $16.60 | $26.30 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 52 · Reduced service | $6.76 | $6.76 | $6.76 |
Priority Health Setting Professional Modifier None Typical Low $9.12 Median $10.96 Typical High $17.38 | Professional | None | $9.12 | $10.96 | $17.38 |
United Setting Facility Modifier None Typical Low $8.51 Median $12.88 Typical High $16.98 | Facility | None | $8.51 | $12.88 | $16.98 |
United Setting Professional Modifier None Typical Low $6.03 Median $10.72 Typical High $18.62 | Professional | None | $6.03 | $10.72 | $18.62 |
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 $2.69 Median $2.69 Typical High $4.27 | Facility | 53 · Discontinued | $2.69 | $2.69 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.75 Typical High $2.88 | Professional | 53 · Discontinued | $2.45 | $2.75 | $2.88 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | 53 · Discontinued | $2.69 | $2.69 | $2.69 |
Health Alliance Plan Setting Professional Modifier QW · Waived lab test Typical Low $14.13 Median $16.98 Typical High $22.39 | Professional | QW · Waived lab test | $14.13 | $16.98 | $22.39 |
Where Michigan sits
The same service costs 9.5 times more in Vermont than in Indiana. 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
$14.45
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.