How much rates vary
Facilitymedian $13 · 10th to 90th $8 to $20Professionalmedian $13 · 10th to 90th $10 to $17
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 $10.47 Median $12.88 Typical High $15.85 | Facility | None | $10.47 | $12.88 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $15.85 | Professional | None | $10.47 | $12.59 | $15.85 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $10.00 Typical High $12.30 | Professional | None | $8.13 | $10.00 | $12.30 |
BCBS Michigan Setting Facility Modifier None Typical Low $5.75 Median $14.45 Typical High $20.89 | Facility | None | $5.75 | $14.45 | $20.89 |
BCBS Michigan Setting Professional Modifier None Typical Low $11.48 Median $14.45 Typical High $20.42 | Professional | None | $11.48 | $14.45 | $20.42 |
CareSource Setting Professional Modifier None Typical Low $11.48 Median $14.13 Typical High $19.50 | Professional | None | $11.48 | $14.13 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $10.96 | Professional | None | $2.82 | $2.82 | $10.96 |
Health Alliance Plan Setting Facility Modifier None Typical Low $11.48 Median $13.49 Typical High $79.43 | Facility | None | $11.48 | $13.49 | $79.43 |
Health Alliance Plan Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $16.98 | Professional | None | $11.48 | $12.88 | $16.98 |
Priority Health Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $10.96 | Professional | None | $2.82 | $2.82 | $10.96 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $14.79 | Professional | None | $11.22 | $11.22 | $14.79 |
13 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 AF · Specialist physician Typical Low $15.14 Median $16.22 Typical High $16.98 | Facility | AF · Specialist physician | $15.14 | $16.22 | $16.98 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $11.48 Median $12.02 Typical High $12.88 | Facility | HO · Master's level | $11.48 | $12.02 | $12.88 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $12.88 Median $13.80 Typical High $14.45 | Facility | TD · Registered nurse | $12.88 | $13.80 | $14.45 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $3.80 Median $16.22 Typical High $17.78 | Professional | AF · Specialist physician | $3.80 | $16.22 | $17.78 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $2.82 Median $12.02 Typical High $13.49 | Professional | HO · Master's level | $2.82 | $12.02 | $13.49 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $3.24 Median $13.80 Typical High $15.14 | Professional | TD · Registered nurse | $3.24 | $13.80 | $15.14 |
BCBS Michigan Setting Professional Modifier HO · Master's level Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | HO · Master's level | $14.45 | $14.45 | $14.45 |
Health Alliance Plan Setting Facility Modifier AF · Specialist physician Typical Low $15.14 Median $16.22 Typical High $16.98 | Facility | AF · Specialist physician | $15.14 | $16.22 | $16.98 |
Health Alliance Plan Setting Facility Modifier HO · Master's level Typical Low $11.48 Median $12.02 Typical High $12.88 | Facility | HO · Master's level | $11.48 | $12.02 | $12.88 |
Health Alliance Plan Setting Facility Modifier TD · Registered nurse Typical Low $12.88 Median $13.80 Typical High $14.45 | Facility | TD · Registered nurse | $12.88 | $13.80 | $14.45 |
Health Alliance Plan Setting Professional Modifier AF · Specialist physician Typical Low $3.80 Median $16.22 Typical High $17.78 | Professional | AF · Specialist physician | $3.80 | $16.22 | $17.78 |
Health Alliance Plan Setting Professional Modifier HO · Master's level Typical Low $2.82 Median $12.02 Typical High $13.49 | Professional | HO · Master's level | $2.82 | $12.02 | $13.49 |
Health Alliance Plan Setting Professional Modifier TD · Registered nurse Typical Low $3.24 Median $13.80 Typical High $15.14 | Professional | TD · Registered nurse | $3.24 | $13.80 | $15.14 |
Where Michigan sits
The same service costs 1.8 times more in Alaska than in Georgia. 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· 21st of 51
$12.88
AK $18.20GA $10.00
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.