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 $33.11 Median $33.88 Typical High $44.67 | Facility | None | $33.11 | $33.88 | $44.67 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $16.60 Median $16.60 Typical High $26.30 | Facility | 52 · Reduced service | $16.60 | $16.60 | $26.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $10.47 | Facility | 53 · Discontinued | $6.61 | $6.61 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $35.48 Typical High $44.67 | Professional | None | $32.36 | $35.48 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $17.38 Typical High $17.78 | Professional | 52 · Reduced service | $15.85 | $17.38 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.92 Typical High $7.08 | Professional | 53 · Discontinued | $6.46 | $6.92 | $7.08 |
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 $25.12 Median $26.30 Typical High $26.30 | Professional | None | $25.12 | $26.30 | $26.30 |
CareSource Setting Professional Modifier None Typical Low $35.48 Median $38.90 Typical High $47.86 | Professional | None | $35.48 | $38.90 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $26.92 Typical High $47.86 | Professional | None | $18.20 | $26.92 | $47.86 |
Health Alliance Plan Setting Facility Modifier None Typical Low $33.11 Median $61.66 Typical High $141.25 | Facility | None | $33.11 | $61.66 | $141.25 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $16.60 Median $16.60 Typical High $26.30 | Facility | 52 · Reduced service | $16.60 | $16.60 | $26.30 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $10.47 | Facility | 53 · Discontinued | $6.61 | $6.61 | $10.47 |
Health Alliance Plan Setting Professional Modifier None Typical Low $33.11 Median $43.65 Typical High $58.88 | Professional | None | $33.11 | $43.65 | $58.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $16.60 | $16.60 | $16.60 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $6.61 | $6.61 | $6.61 |
Priority Health Setting Professional Modifier None Typical Low $17.78 Median $26.92 Typical High $48.98 | Professional | None | $17.78 | $26.92 | $48.98 |
United Setting Facility Modifier None Typical Low $20.89 Median $31.62 Typical High $41.69 | Facility | None | $20.89 | $31.62 | $41.69 |
United Setting Professional Modifier None Typical Low $14.79 Median $28.84 Typical High $45.71 | Professional | None | $14.79 | $28.84 | $45.71 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 59 · Distinct service | $20.89 | $20.89 | $20.89 |
Where Michigan sits
The same service costs 3.5 times more in Vermont than in New Jersey. 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· 32nd of 51
$34.67
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.