How much rates vary
Facilitymedian $200 · 10th to 90th $132 to $309Professionalmedian $170 · 10th to 90th $138 to $224
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 $138.04 Median $181.97 Typical High $263.03 | Facility | None | $138.04 | $181.97 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $208.93 | Professional | None | $138.04 | $162.18 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $173.78 Typical High $229.09 | Professional | None | $134.90 | $173.78 | $229.09 |
BCBS Michigan Setting Facility Modifier None Typical Low $194.98 Median $229.09 Typical High $263.03 | Facility | None | $194.98 | $229.09 | $263.03 |
BCBS Michigan Setting Professional Modifier None Typical Low $181.97 Median $229.09 Typical High $263.03 | Professional | None | $181.97 | $229.09 | $263.03 |
CareSource Setting Professional Modifier None Typical Low $151.36 Median $181.97 Typical High $257.04 | Professional | None | $151.36 | $181.97 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $162.18 | Professional | None | $54.95 | $54.95 | $162.18 |
Health Alliance Plan Setting Facility Modifier None Typical Low $109.65 Median $190.55 Typical High $426.58 | Facility | None | $109.65 | $190.55 | $426.58 |
Health Alliance Plan Setting Professional Modifier None Typical Low $147.91 Median $169.82 Typical High $223.87 | Professional | None | $147.91 | $169.82 | $223.87 |
Priority Health Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $162.18 | Professional | None | $54.95 | $54.95 | $162.18 |
United Setting Facility Modifier None Typical Low $181.97 Median $239.88 Typical High $501.19 | Facility | None | $181.97 | $239.88 | $501.19 |
United Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | None | $147.91 | $147.91 | $194.98 |
17 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 $199.53 Median $208.93 Typical High $223.87 | Facility | AF · Specialist physician | $199.53 | $208.93 | $223.87 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $147.91 Median $158.49 Typical High $169.82 | Facility | HO · Master's level | $147.91 | $158.49 | $169.82 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $169.82 Median $177.83 Typical High $190.55 | Facility | TD · Registered nurse | $169.82 | $177.83 | $190.55 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $97.72 Median $194.98 Typical High $234.42 | Professional | AF · Specialist physician | $97.72 | $194.98 | $234.42 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $147.91 Median $158.49 Typical High $177.83 | Professional | HO · Master's level | $147.91 | $158.49 | $177.83 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $64.57 Median $151.36 Typical High $199.53 | Professional | TD · Registered nurse | $64.57 | $151.36 | $199.53 |
Ambetter Setting Professional Modifier AF · Specialist physician Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | AF · Specialist physician | $147.91 | $147.91 | $147.91 |
Ambetter Setting Professional Modifier AM · Physician, team member Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | AM · Physician, team member | $199.53 | $199.53 | $199.53 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $158.49 Median $213.80 Typical High $213.80 | Professional | GC · Resident with teaching physician | $158.49 | $213.80 | $213.80 |
Ambetter Setting Professional Modifier HE · Mental health program Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | HE · Mental health program | $134.90 | $134.90 | $134.90 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $158.49 Median $158.49 Typical High $199.53 | Professional | HO · Master's level | $158.49 | $158.49 | $199.53 |
BCBS Michigan Setting Professional Modifier HO · Master's level Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | HO · Master's level | $194.98 | $194.98 | $194.98 |
Health Alliance Plan Setting Facility Modifier AF · Specialist physician Typical Low $199.53 Median $208.93 Typical High $223.87 | Facility | AF · Specialist physician | $199.53 | $208.93 | $223.87 |
Health Alliance Plan Setting Facility Modifier HO · Master's level Typical Low $147.91 Median $158.49 Typical High $169.82 | Facility | HO · Master's level | $147.91 | $158.49 | $169.82 |
Health Alliance Plan Setting Facility Modifier TD · Registered nurse Typical Low $169.82 Median $177.83 Typical High $190.55 | Facility | TD · Registered nurse | $169.82 | $177.83 | $190.55 |
Health Alliance Plan Setting Professional Modifier AF · Specialist physician Typical Low $97.72 Median $151.36 Typical High $234.42 | Professional | AF · Specialist physician | $97.72 | $151.36 | $234.42 |
Health Alliance Plan Setting Professional Modifier TD · Registered nurse Typical Low $64.57 Median $151.36 Typical High $199.53 | Professional | TD · Registered nurse | $64.57 | $151.36 | $199.53 |
Where Michigan sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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· 17th of 51
$170
ND $295KY $132
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.