How much rates vary
Facilitymedian $16 · 10th to 90th $12 to $32Professionalmedian $16 · 10th to 90th $12 to $21
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 $15.85 Median $15.85 Typical High $24.55 | Facility | None | $15.85 | $15.85 | $24.55 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $7.94 Median $7.94 Typical High $12.30 | Facility | 52 · Reduced service | $7.94 | $7.94 | $12.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $4.90 | Facility | 53 · Discontinued | $3.16 | $3.16 | $4.90 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $16.60 Typical High $20.89 | Professional | None | $12.02 | $16.60 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.94 Typical High $8.32 | Professional | 52 · Reduced service | $7.08 | $7.94 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.16 Typical High $3.31 | Professional | 53 · Discontinued | $2.82 | $3.16 | $3.31 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $8.32 Median $14.13 Typical High $16.60 | Professional | QW · Waived lab test | $8.32 | $14.13 | $16.60 |
BCBS Michigan Setting Facility Modifier None Typical Low $12.30 Median $17.38 Typical High $30.90 | Facility | None | $12.30 | $17.38 | $30.90 |
BCBS Michigan Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $16.60 | Professional | None | $12.30 | $12.30 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $9.33 Typical High $23.99 | Professional | None | $7.59 | $9.33 | $23.99 |
Health Alliance Plan Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $46.77 | Facility | None | $15.85 | $15.85 | $46.77 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $7.94 Median $7.94 Typical High $12.30 | Facility | 52 · Reduced service | $7.94 | $7.94 | $12.30 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $4.90 | Facility | 53 · Discontinued | $3.16 | $3.16 | $4.90 |
Health Alliance Plan Setting Professional Modifier None Typical Low $14.79 Median $16.22 Typical High $22.91 | Professional | None | $14.79 | $16.22 | $22.91 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $7.94 | $7.94 | $7.94 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $3.16 | $3.16 | $3.16 |
Health Alliance Plan Setting Professional Modifier QW · Waived lab test Typical Low $15.85 Median $17.78 Typical High $31.62 | Professional | QW · Waived lab test | $15.85 | $17.78 | $31.62 |
Priority Health Setting Professional Modifier None Typical Low $7.59 Median $9.12 Typical High $19.50 | Professional | None | $7.59 | $9.12 | $19.50 |
United Setting Facility Modifier None Typical Low $10.00 Median $14.79 Typical High $19.95 | Facility | None | $10.00 | $14.79 | $19.95 |
United Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $18.62 | Professional | None | $14.13 | $16.60 | $18.62 |
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 Professional Modifier 59 · Distinct service Typical Low $14.79 Median $20.42 Typical High $33.11 | Professional | 59 · Distinct service | $14.79 | $20.42 | $33.11 |
Where Michigan sits
The same service costs 3.2 times more in Alaska 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· 26th of 51
$15.85
AK $37.15NJ $11.48
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.