How much rates vary
Facilitymedian $83 · 10th to 90th $59 to $158Professionalmedian $74 · 10th to 90th $56 to $100
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 $57.54 Median $75.86 Typical High $93.33 | Facility | None | $57.54 | $75.86 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $74.13 Typical High $87.10 | Professional | None | $57.54 | $74.13 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $85.11 | Professional | None | $51.29 | $69.18 | $85.11 |
BCBS Michigan Setting Facility Modifier None Typical Low $79.43 Median $87.10 Typical High $102.33 | Facility | None | $79.43 | $87.10 | $102.33 |
BCBS Michigan Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $102.33 | Professional | None | $67.61 | $83.18 | $102.33 |
CareSource Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $109.65 | Professional | None | $63.10 | $77.62 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $70.79 | Professional | None | $33.11 | $33.11 | $70.79 |
Health Alliance Plan Setting Facility Modifier None Typical Low $58.88 Median $93.33 Typical High $169.82 | Facility | None | $58.88 | $93.33 | $169.82 |
Health Alliance Plan Setting Professional Modifier None Typical Low $57.54 Median $66.07 Typical High $87.10 | Professional | None | $57.54 | $66.07 | $87.10 |
Priority Health Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $67.61 | Professional | None | $33.11 | $33.11 | $67.61 |
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 $56.23 Median $56.23 Typical High $75.86 | Professional | None | $56.23 | $56.23 | $75.86 |
14 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 $75.86 Median $81.28 Typical High $87.10 | Facility | AF · Specialist physician | $75.86 | $81.28 | $87.10 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $57.54 Median $60.26 Typical High $64.57 | Facility | HO · Master's level | $57.54 | $60.26 | $64.57 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $64.57 Median $69.18 Typical High $74.13 | Facility | TD · Registered nurse | $64.57 | $69.18 | $74.13 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $47.86 Median $70.79 Typical High $91.20 | Professional | AF · Specialist physician | $47.86 | $70.79 | $91.20 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $41.69 Median $60.26 Typical High $67.61 | Professional | HO · Master's level | $41.69 | $60.26 | $67.61 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $41.69 Median $69.18 Typical High $77.62 | Professional | TD · Registered nurse | $41.69 | $69.18 | $77.62 |
Ambetter Setting Professional Modifier 93 · Audio-only telehealth Typical Low $51.29 Median $51.29 Typical High $83.18 | Professional | 93 · Audio-only telehealth | $51.29 | $51.29 | $83.18 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | HO · Master's level | $63.10 | $63.10 | $69.18 |
BCBS Michigan Setting Professional Modifier HO · Master's level Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | HO · Master's level | $85.11 | $85.11 | $85.11 |
Health Alliance Plan Setting Facility Modifier AF · Specialist physician Typical Low $75.86 Median $81.28 Typical High $87.10 | Facility | AF · Specialist physician | $75.86 | $81.28 | $87.10 |
Health Alliance Plan Setting Facility Modifier HO · Master's level Typical Low $57.54 Median $64.57 Typical High $64.57 | Facility | HO · Master's level | $57.54 | $64.57 | $64.57 |
Health Alliance Plan Setting Facility Modifier TD · Registered nurse Typical Low $64.57 Median $69.18 Typical High $74.13 | Facility | TD · Registered nurse | $64.57 | $69.18 | $74.13 |
Health Alliance Plan Setting Professional Modifier AF · Specialist physician Typical Low $47.86 Median $70.79 Typical High $91.20 | Professional | AF · Specialist physician | $47.86 | $70.79 | $91.20 |
Health Alliance Plan Setting Professional Modifier HO · Master's level Typical Low $60.26 Median $100.00 Typical High $100.00 | Professional | HO · Master's level | $60.26 | $100.00 | $100.00 |
Where Michigan sits
The same service costs 1.9 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· 12th of 51
$74.13
ND $100KY $53.70
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.