How much rates vary
Facilitymedian $83 · 10th to 90th $40 to $182Professionalmedian $98 · 10th to 90th $81 to $166
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 $83.18 Median $83.18 Typical High $112.20 | Facility | None | $83.18 | $83.18 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $112.20 | Professional | None | $83.18 | $93.33 | $112.20 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $104.71 | Professional | None | $74.13 | $74.13 | $104.71 |
BCBS Michigan Setting Facility Modifier None Typical Low $28.18 Median $72.44 Typical High $165.96 | Facility | None | $28.18 | $72.44 | $165.96 |
BCBS Michigan Setting Professional Modifier None Typical Low $131.83 Median $158.49 Typical High $173.78 | Professional | None | $131.83 | $158.49 | $173.78 |
CareSource Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $138.04 | Professional | None | $79.43 | $97.72 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $104.71 | Professional | None | $54.95 | $54.95 | $104.71 |
Health Alliance Plan Setting Facility Modifier None Typical Low $83.18 Median $93.33 Typical High $234.42 | Facility | None | $83.18 | $93.33 | $234.42 |
Health Alliance Plan Setting Professional Modifier None Typical Low $81.28 Median $93.33 Typical High $109.65 | Professional | None | $81.28 | $93.33 | $109.65 |
Priority Health Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $104.71 | Professional | None | $54.95 | $54.95 | $104.71 |
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 $89.13 Median $89.13 Typical High $114.82 | Professional | None | $89.13 | $89.13 | $114.82 |
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 $109.65 Median $109.65 Typical High $114.82 | Facility | AF · Specialist physician | $109.65 | $109.65 | $114.82 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $81.28 Median $83.18 Typical High $87.10 | Facility | HO · Master's level | $81.28 | $83.18 | $87.10 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $93.33 Median $93.33 Typical High $97.72 | Facility | TD · Registered nurse | $93.33 | $93.33 | $97.72 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $70.79 Median $109.65 Typical High $117.49 | Professional | AF · Specialist physician | $70.79 | $109.65 | $117.49 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $67.61 Median $87.10 Typical High $87.10 | Professional | HO · Master's level | $67.61 | $87.10 | $87.10 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $67.61 Median $97.72 Typical High $100.00 | Professional | TD · Registered nurse | $67.61 | $97.72 | $100.00 |
BCBS Michigan Setting Professional Modifier HO · Master's level Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | HO · Master's level | $162.18 | $162.18 | $162.18 |
Health Alliance Plan Setting Facility Modifier AF · Specialist physician Typical Low $109.65 Median $109.65 Typical High $114.82 | Facility | AF · Specialist physician | $109.65 | $109.65 | $114.82 |
Health Alliance Plan Setting Facility Modifier HO · Master's level Typical Low $81.28 Median $83.18 Typical High $87.10 | Facility | HO · Master's level | $81.28 | $83.18 | $87.10 |
Health Alliance Plan Setting Facility Modifier TD · Registered nurse Typical Low $93.33 Median $93.33 Typical High $97.72 | Facility | TD · Registered nurse | $93.33 | $93.33 | $97.72 |
Health Alliance Plan Setting Professional Modifier AF · Specialist physician Typical Low $70.79 Median $109.65 Typical High $117.49 | Professional | AF · Specialist physician | $70.79 | $109.65 | $117.49 |
Health Alliance Plan Setting Professional Modifier HO · Master's level Typical Low $67.61 Median $83.18 Typical High $87.10 | Professional | HO · Master's level | $67.61 | $83.18 | $87.10 |
Health Alliance Plan Setting Professional Modifier TD · Registered nurse Typical Low $67.61 Median $93.33 Typical High $100.00 | Professional | TD · Registered nurse | $67.61 | $93.33 | $100.00 |
Where Michigan sits
The same service costs 1.8 times more in Alaska than in New Mexico. 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
$97.72
AK $129NM $72.44
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.