How much rates vary
Facilitymedian $148 · 10th to 90th $120 to $347Professionalmedian $141 · 10th to 90th $110 to $191
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 $109.65 Median $125.89 Typical High $165.96 | Facility | None | $109.65 | $125.89 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $165.96 | Professional | None | $109.65 | $131.83 | $165.96 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $177.83 | Professional | None | $97.72 | $97.72 | $177.83 |
BCBS Michigan Setting Facility Modifier None Typical Low $141.25 Median $165.96 Typical High $190.55 | Facility | None | $141.25 | $165.96 | $190.55 |
BCBS Michigan Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $190.55 | Professional | None | $125.89 | $158.49 | $190.55 |
CareSource Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $204.17 | Professional | None | $117.49 | $144.54 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $223.87 Typical High $245.47 | Professional | None | $107.15 | $223.87 | $245.47 |
Health Alliance Plan Setting Facility Modifier None Typical Low $120.23 Median $158.49 Typical High $380.19 | Facility | None | $120.23 | $158.49 | $380.19 |
Health Alliance Plan Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $162.18 | Professional | None | $109.65 | $128.82 | $162.18 |
Priority Health Setting Professional Modifier None Typical Low $107.15 Median $223.87 Typical High $245.47 | Professional | None | $107.15 | $223.87 | $245.47 |
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 $107.15 Median $107.15 Typical High $147.91 | Professional | None | $107.15 | $107.15 | $147.91 |
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 $144.54 Median $151.36 Typical High $162.18 | Facility | AF · Specialist physician | $144.54 | $151.36 | $162.18 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $107.15 Median $114.82 Typical High $123.03 | Facility | HO · Master's level | $107.15 | $114.82 | $123.03 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $123.03 Median $128.82 Typical High $138.04 | Facility | TD · Registered nurse | $123.03 | $128.82 | $138.04 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $141.25 Median $151.36 Typical High $169.82 | Professional | AF · Specialist physician | $141.25 | $151.36 | $169.82 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $75.86 Median $114.82 Typical High $128.82 | Professional | HO · Master's level | $75.86 | $114.82 | $128.82 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $75.86 Median $128.82 Typical High $144.54 | Professional | TD · Registered nurse | $75.86 | $128.82 | $144.54 |
BCBS Michigan Setting Professional Modifier HO · Master's level Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | HO · Master's level | $158.49 | $158.49 | $158.49 |
Health Alliance Plan Setting Facility Modifier AF · Specialist physician Typical Low $144.54 Median $151.36 Typical High $162.18 | Facility | AF · Specialist physician | $144.54 | $151.36 | $162.18 |
Health Alliance Plan Setting Facility Modifier HO · Master's level Typical Low $107.15 Median $114.82 Typical High $123.03 | Facility | HO · Master's level | $107.15 | $114.82 | $123.03 |
Health Alliance Plan Setting Facility Modifier TD · Registered nurse Typical Low $123.03 Median $128.82 Typical High $138.04 | Facility | TD · Registered nurse | $123.03 | $128.82 | $138.04 |
Health Alliance Plan Setting Professional Modifier AF · Specialist physician Typical Low $97.72 Median $151.36 Typical High $169.82 | Professional | AF · Specialist physician | $97.72 | $151.36 | $169.82 |
Health Alliance Plan Setting Professional Modifier HO · Master's level Typical Low $75.86 Median $114.82 Typical High $128.82 | Professional | HO · Master's level | $75.86 | $114.82 | $128.82 |
Health Alliance Plan Setting Professional Modifier TD · Registered nurse Typical Low $75.86 Median $128.82 Typical High $144.54 | Professional | TD · Registered nurse | $75.86 | $128.82 | $144.54 |
Where Michigan sits
The same service costs 1.7 times more in North Dakota 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· 18th of 51
$141
ND $186OH $107
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.