How much rates vary
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 $69.18 Median $83.18 Typical High $109.65 | Facility | None | $69.18 | $83.18 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $87.10 Typical High $109.65 | Professional | None | $69.18 | $87.10 | $109.65 |
BCBS Michigan Setting Facility Modifier None Typical Low $109.65 Median $128.82 Typical High $147.91 | Facility | None | $109.65 | $128.82 | $147.91 |
BCBS Michigan Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $147.91 | Professional | None | $117.49 | $141.25 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $123.03 | Professional | None | $54.95 | $54.95 | $123.03 |
Health Alliance Plan Setting Facility Modifier None Typical Low $85.11 Median $117.49 Typical High $281.84 | Facility | None | $85.11 | $117.49 | $281.84 |
Health Alliance Plan Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $120.23 | Professional | None | $75.86 | $100.00 | $120.23 |
Priority Health Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $123.03 | Professional | None | $54.95 | $54.95 | $123.03 |
United Setting Facility Modifier None Typical Low $104.71 Median $134.90 Typical High $281.84 | Facility | None | $104.71 | $134.90 | $281.84 |
United Setting Professional Modifier None Typical Low $93.33 Median $107.15 Typical High $128.82 | Professional | None | $93.33 | $107.15 | $128.82 |
9 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 $100.00 Median $107.15 Typical High $120.23 | Facility | AF · Specialist physician | $100.00 | $107.15 | $120.23 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $75.86 Median $79.43 Typical High $89.13 | Facility | HO · Master's level | $75.86 | $79.43 | $89.13 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $85.11 Median $91.20 Typical High $102.33 | Facility | TD · Registered nurse | $85.11 | $91.20 | $102.33 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $102.33 Median $107.15 Typical High $125.89 | Professional | AF · Specialist physician | $102.33 | $107.15 | $125.89 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $75.86 Median $79.43 Typical High $93.33 | Professional | HO · Master's level | $75.86 | $79.43 | $93.33 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $87.10 Median $91.20 Typical High $107.15 | Professional | TD · Registered nurse | $87.10 | $91.20 | $107.15 |
Health Alliance Plan Setting Facility Modifier AF · Specialist physician Typical Low $100.00 Median $107.15 Typical High $120.23 | Facility | AF · Specialist physician | $100.00 | $107.15 | $120.23 |
Health Alliance Plan Setting Facility Modifier HO · Master's level Typical Low $75.86 Median $79.43 Typical High $89.13 | Facility | HO · Master's level | $75.86 | $79.43 | $89.13 |
Health Alliance Plan Setting Facility Modifier TD · Registered nurse Typical Low $85.11 Median $91.20 Typical High $102.33 | Facility | TD · Registered nurse | $85.11 | $91.20 | $102.33 |
Where Michigan sits
The same service costs 2.3 times more in Hawaii than in Arizona. 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· 25th of 51
$91.20
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.