How much rates vary
Facilitymedian $42 · 10th to 90th $31 to $89Professionalmedian $42 · 10th to 90th $30 to $55
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 $41.69 Median $41.69 Typical High $64.57 | Facility | None | $41.69 | $41.69 | $64.57 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $32.36 | Facility | 52 · Reduced service | $20.89 | $20.89 | $32.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $12.88 | Facility | 53 · Discontinued | $8.32 | $8.32 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $57.54 | Professional | None | $41.69 | $41.69 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
BCBS Michigan Setting Facility Modifier None Typical Low $30.90 Median $43.65 Typical High $77.62 | Facility | None | $30.90 | $43.65 | $77.62 |
BCBS Michigan Setting Professional Modifier None Typical Low $29.51 Median $30.90 Typical High $30.90 | Professional | None | $29.51 | $30.90 | $30.90 |
CareSource Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $56.23 | Professional | None | $41.69 | $45.71 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $33.11 Typical High $51.29 | Professional | None | $19.95 | $33.11 | $51.29 |
Health Alliance Plan Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $112.20 | Facility | None | $41.69 | $41.69 | $112.20 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $32.36 | Facility | 52 · Reduced service | $20.89 | $20.89 | $32.36 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $12.88 | Facility | 53 · Discontinued | $8.32 | $8.32 | $12.88 |
Health Alliance Plan Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $58.88 | Professional | None | $41.69 | $41.69 | $58.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $20.89 | $20.89 | $20.89 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Priority Health Setting Professional Modifier None Typical Low $19.95 Median $24.55 Typical High $47.86 | Professional | None | $19.95 | $24.55 | $47.86 |
United Setting Facility Modifier None Typical Low $24.55 Median $37.15 Typical High $50.12 | Facility | None | $24.55 | $37.15 | $50.12 |
United Setting Professional Modifier None Typical Low $25.12 Median $42.66 Typical High $54.95 | Professional | None | $25.12 | $42.66 | $54.95 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $20.89 Median $35.48 Typical High $41.69 | Professional | QW · Waived lab test | $20.89 | $35.48 | $41.69 |
Health Alliance Plan Setting Professional Modifier QW · Waived lab test Typical Low $19.95 Median $47.86 Typical High $79.43 | Professional | QW · Waived lab test | $19.95 | $47.86 | $79.43 |
Where Michigan sits
The same service costs 3.2 times more in Alaska than in Ohio. 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· 22nd of 51
$41.69
AK $89.13OH $27.54
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.