How much rates vary
Facilitymedian $46 · 10th to 90th $28 to $91Professionalmedian $35 · 10th to 90th $25 to $50
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 $45.71 Median $45.71 Typical High $70.79 | Facility | None | $45.71 | $45.71 | $70.79 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $22.39 Median $22.39 Typical High $35.48 | Facility | 52 · Reduced service | $22.39 | $22.39 | $35.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $14.13 | Facility | 53 · Discontinued | $9.12 | $9.12 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $52.48 | Professional | None | $45.71 | $45.71 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Ambetter Setting Professional Modifier None Typical Low $24.55 Median $35.48 Typical High $35.48 | Professional | None | $24.55 | $35.48 | $35.48 |
BCBS Michigan Setting Facility Modifier None Typical Low $26.30 Median $37.15 Typical High $66.07 | Facility | None | $26.30 | $37.15 | $66.07 |
BCBS Michigan Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $35.48 Typical High $51.29 | Professional | None | $16.98 | $35.48 | $51.29 |
Health Alliance Plan Setting Facility Modifier None Typical Low $38.02 Median $51.29 Typical High $102.33 | Facility | None | $38.02 | $51.29 | $102.33 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $22.39 Median $22.39 Typical High $35.48 | Facility | 52 · Reduced service | $22.39 | $22.39 | $35.48 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $14.13 | Facility | 53 · Discontinued | $9.12 | $9.12 | $14.13 |
Health Alliance Plan Setting Professional Modifier None Typical Low $35.48 Median $45.71 Typical High $58.88 | Professional | None | $35.48 | $45.71 | $58.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Priority Health Setting Professional Modifier None Typical Low $16.98 Median $20.89 Typical High $45.71 | Professional | None | $16.98 | $20.89 | $45.71 |
United Setting Facility Modifier None Typical Low $21.38 Median $31.62 Typical High $42.66 | Facility | None | $21.38 | $31.62 | $42.66 |
United Setting Professional Modifier None Typical Low $17.38 Median $24.55 Typical High $47.86 | Professional | None | $17.38 | $24.55 | $47.86 |
2 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 |
|---|---|---|---|---|---|
Health Alliance Plan Setting Facility Modifier QW · Waived lab test Typical Low $35.48 Median $52.48 Typical High $77.62 | Facility | QW · Waived lab test | $35.48 | $52.48 | $77.62 |
Health Alliance Plan Setting Professional Modifier QW · Waived lab test Typical Low $33.11 Median $46.77 Typical High $125.89 | Professional | QW · Waived lab test | $33.11 | $46.77 | $125.89 |
Where Michigan sits
The same service costs 4.5 times more in Alaska 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· 24th of 51
$41.69
AK $79.43AL $17.78
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.