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 $912.01 Median $954.99 Typical High $2,454.71 | Facility | None | $912.01 | $954.99 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $954.99 Typical High $1,000.00 | Professional | None | $912.01 | $954.99 | $1,000.00 |
Ambetter Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,479.11 Median $3,548.13 Typical High $6,918.31 | Facility | None | $1,479.11 | $3,548.13 | $6,918.31 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,122.02 Median $1,174.90 Typical High $1,258.93 | Professional | None | $1,122.02 | $1,174.90 | $1,258.93 |
CareSource Setting Professional Modifier None Typical Low $724.44 Median $794.33 Typical High $851.14 | Professional | None | $724.44 | $794.33 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,047.13 Typical High $2,570.40 | Professional | None | $724.44 | $1,047.13 | $2,570.40 |
Health Alliance Plan Setting Facility Modifier None Typical Low $707.95 Median $1,659.59 Typical High $2,454.71 | Facility | None | $707.95 | $1,659.59 | $2,454.71 |
Health Alliance Plan Setting Professional Modifier None Typical Low $660.69 Median $954.99 Typical High $1,047.13 | Professional | None | $660.69 | $954.99 | $1,047.13 |
Priority Health Setting Professional Modifier None Typical Low $645.65 Median $1,047.13 Typical High $2,344.23 | Professional | None | $645.65 | $1,047.13 | $2,344.23 |
United Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $1,047.13 | Facility | None | $380.19 | $501.19 | $1,047.13 |
United Setting Professional Modifier None Typical Low $346.74 Median $707.95 Typical High $812.83 | Professional | None | $346.74 | $707.95 | $812.83 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier XE · Separate encounter Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | XE · Separate encounter | $741.31 | $741.31 | $741.31 |
Where Michigan sits
The same service costs 3.2 times more in Alaska 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· 21st of 51
$955
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.