How much rates vary
Facilitymedian $148 · 10th to 90th $112 to $209Professionalmedian $135 · 10th to 90th $102 to $200
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 $107.15 Median $144.54 Typical High $147.91 | Facility | None | $107.15 | $144.54 | $147.91 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $70.79 Median $74.13 Typical High $74.13 | Facility | 52 · Reduced service | $70.79 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $29.51 Typical High $29.51 | Facility | 53 · Discontinued | $28.18 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $147.91 | Professional | None | $102.33 | $125.89 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $70.79 Typical High $74.13 | Professional | 52 · Reduced service | $67.61 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.18 Typical High $29.51 | Professional | 53 · Discontinued | $26.92 | $28.18 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
BCBS Michigan Setting Facility Modifier None Typical Low $154.88 Median $181.97 Typical High $208.93 | Facility | None | $154.88 | $181.97 | $208.93 |
BCBS Michigan Setting Professional Modifier None Typical Low $165.96 Median $208.93 Typical High $208.93 | Professional | None | $165.96 | $208.93 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $251.19 | Professional | None | $89.13 | $112.20 | $251.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $112.20 Median $147.91 Typical High $363.08 | Facility | None | $112.20 | $147.91 | $363.08 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Health Alliance Plan Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $147.91 | Professional | None | $102.33 | $125.89 | $147.91 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Priority Health Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $199.53 | Professional | None | $89.13 | $107.15 | $199.53 |
United Setting Facility Modifier None Typical Low $131.83 Median $173.78 Typical High $363.08 | Facility | None | $131.83 | $173.78 | $363.08 |
United Setting Professional Modifier None Typical Low $125.89 Median $144.54 Typical High $173.78 | Professional | None | $125.89 | $144.54 | $173.78 |
7 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 $134.90 Median $134.90 Typical High $147.91 | Facility | AF · Specialist physician | $134.90 | $134.90 | $147.91 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $100.00 Median $102.33 Typical High $112.20 | Facility | HO · Master's level | $100.00 | $102.33 | $112.20 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $114.82 Median $114.82 Typical High $125.89 | Facility | TD · Registered nurse | $114.82 | $114.82 | $125.89 |
BCBS Michigan Setting Professional Modifier HO · Master's level Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | HO · Master's level | $177.83 | $177.83 | $177.83 |
Health Alliance Plan Setting Facility Modifier AF · Specialist physician Typical Low $134.90 Median $134.90 Typical High $147.91 | Facility | AF · Specialist physician | $134.90 | $134.90 | $147.91 |
Health Alliance Plan Setting Facility Modifier HO · Master's level Typical Low $100.00 Median $102.33 Typical High $112.20 | Facility | HO · Master's level | $100.00 | $102.33 | $112.20 |
Health Alliance Plan Setting Facility Modifier TD · Registered nurse Typical Low $114.82 Median $114.82 Typical High $125.89 | Facility | TD · Registered nurse | $114.82 | $114.82 | $125.89 |
Where Michigan sits
The same service costs 2.4 times more in Alaska 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· 20th of 51
$135
AK $245OH $102
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.