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 $97.72 Median $97.72 Typical High $102.33 | Facility | None | $97.72 | $97.72 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $102.33 Typical High $102.33 | Professional | None | $97.72 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $48.98 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $19.50 | $20.42 | $20.42 |
BCBS Michigan Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
BCBS Michigan Setting Professional Modifier None Typical Low $50.12 Median $52.48 Typical High $52.48 | Professional | None | $50.12 | $52.48 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $154.88 | Professional | None | $69.18 | $93.33 | $154.88 |
Health Alliance Plan Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $223.87 | Facility | None | $97.72 | $97.72 | $223.87 |
Health Alliance Plan Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $117.49 | Professional | None | $77.62 | $102.33 | $117.49 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Priority Health Setting Professional Modifier None Typical Low $69.18 Median $89.13 Typical High $125.89 | Professional | None | $69.18 | $89.13 | $125.89 |
United Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $95.50 | Professional | None | $74.13 | $85.11 | $95.50 |
2 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 |
|---|---|---|---|---|---|
Health Alliance Plan Setting Professional Modifier V5 · Dialysis catheter Typical Low $74.13 Median $588.84 Typical High $794.33 | Professional | V5 · Dialysis catheter | $74.13 | $588.84 | $794.33 |
Health Alliance Plan Setting Professional Modifier V7 · Dialysis fistula Typical Low $323.59 Median $1,659.59 Typical High $9,772.37 | Professional | V7 · Dialysis fistula | $323.59 | $1,659.59 | $9,772.37 |
Where Michigan sits
The same service costs 4.3 times more in Alaska than in Pennsylvania. 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· 36th of 51
$89.13
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.