How much rates vary
Facilitymedian $21 · 10th to 90th $15 to $78Professionalmedian $17 · 10th to 90th $11 to $22
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 Professional Modifier None Typical Low $12.02 Median $16.60 Typical High $20.89 | Professional | None | $12.02 | $16.60 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $18.20 Median $19.05 Typical High $19.05 | Professional | None | $18.20 | $19.05 | $19.05 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $12.02 Median $15.14 Typical High $21.38 | Professional | QW · Waived lab test | $12.02 | $15.14 | $21.38 |
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 $10.00 Typical High $23.99 | Professional | None | $7.59 | $10.00 | $23.99 |
Health Alliance Plan Setting Facility Modifier None Typical Low $15.85 Median $33.11 Typical High $89.13 | Facility | None | $15.85 | $33.11 | $89.13 |
Health Alliance Plan Setting Facility Modifier QW · Waived lab test Typical Low $16.60 Median $45.71 Typical High $64.57 | Facility | QW · Waived lab test | $16.60 | $45.71 | $64.57 |
Health Alliance Plan Setting Professional Modifier None Typical Low $14.45 Median $16.60 Typical High $30.20 | Professional | None | $14.45 | $16.60 | $30.20 |
Health Alliance Plan Setting Professional Modifier QW · Waived lab test Typical Low $15.85 Median $17.78 Typical High $40.74 | Professional | QW · Waived lab test | $15.85 | $17.78 | $40.74 |
Priority Health Setting Professional Modifier None Typical Low $7.59 Median $9.33 Typical High $19.50 | Professional | None | $7.59 | $9.33 | $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 $8.51 Median $16.60 Typical High $18.20 | Professional | None | $8.51 | $16.60 | $18.20 |
8 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 52 · Reduced service Typical Low $7.76 Median $7.76 Typical High $12.30 | Facility | 52 · Reduced service | $7.76 | $7.76 | $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 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 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $7.76 Median $7.76 Typical High $12.30 | Facility | 52 · Reduced service | $7.76 | $7.76 | $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 52 · Reduced service Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 52 · Reduced service | $7.76 | $7.76 | $7.76 |
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 |
Where Michigan sits
The same service costs 5.2 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· 26th of 51
$16.60
AK $54.95AL $10.47
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.