How much rates vary
Facilitymedian $66 · 10th to 90th $47 to $95Professionalmedian $56 · 10th to 90th $46 to $83
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 $45.71 Median $60.26 Typical High $70.79 | Facility | None | $45.71 | $60.26 | $70.79 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $29.51 Median $33.11 Typical High $35.48 | Facility | 52 · Reduced service | $29.51 | $33.11 | $35.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.75 Median $13.18 Typical High $14.13 | Facility | 53 · Discontinued | $11.75 | $13.18 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $52.48 Typical High $61.66 | Professional | None | $41.69 | $52.48 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $29.51 Typical High $30.90 | Professional | 52 · Reduced service | $27.54 | $29.51 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.75 Typical High $12.30 | Professional | 53 · Discontinued | $10.96 | $11.75 | $12.30 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $51.29 Typical High $51.29 | Professional | None | $45.71 | $51.29 | $51.29 |
BCBS Michigan Setting Facility Modifier None Typical Low $70.79 Median $83.18 Typical High $95.50 | Facility | None | $70.79 | $83.18 | $95.50 |
BCBS Michigan Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $95.50 | Professional | None | $69.18 | $93.33 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $109.65 | Professional | None | $40.74 | $51.29 | $109.65 |
Health Alliance Plan Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $162.18 | Facility | None | $50.12 | $66.07 | $162.18 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $33.11 Median $34.67 Typical High $35.48 | Facility | 52 · Reduced service | $33.11 | $34.67 | $35.48 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $13.80 Typical High $14.13 | Facility | 53 · Discontinued | $13.18 | $13.80 | $14.13 |
Health Alliance Plan Setting Professional Modifier None Typical Low $47.86 Median $60.26 Typical High $70.79 | Professional | None | $47.86 | $60.26 | $70.79 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $35.48 | Professional | 52 · Reduced service | $33.11 | $33.11 | $35.48 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $14.13 | Professional | 53 · Discontinued | $13.18 | $13.18 | $14.13 |
Priority Health Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $89.13 | Professional | None | $39.81 | $50.12 | $89.13 |
United Setting Professional Modifier None Typical Low $57.54 Median $66.07 Typical High $77.62 | Professional | None | $57.54 | $66.07 | $77.62 |
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 $60.26 Median $64.57 Typical High $70.79 | Facility | AF · Specialist physician | $60.26 | $64.57 | $70.79 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $45.71 Median $47.86 Typical High $52.48 | Facility | HO · Master's level | $45.71 | $47.86 | $52.48 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $51.29 Median $54.95 Typical High $60.26 | Facility | TD · Registered nurse | $51.29 | $54.95 | $60.26 |
BCBS Michigan Setting Professional Modifier HO · Master's level Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | HO · Master's level | $74.13 | $74.13 | $74.13 |
Health Alliance Plan Setting Facility Modifier AF · Specialist physician Typical Low $60.26 Median $64.57 Typical High $70.79 | Facility | AF · Specialist physician | $60.26 | $64.57 | $70.79 |
Health Alliance Plan Setting Facility Modifier HO · Master's level Typical Low $45.71 Median $47.86 Typical High $52.48 | Facility | HO · Master's level | $45.71 | $47.86 | $52.48 |
Health Alliance Plan Setting Facility Modifier TD · Registered nurse Typical Low $51.29 Median $54.95 Typical High $60.26 | Facility | TD · Registered nurse | $51.29 | $54.95 | $60.26 |
Where Michigan sits
The same service costs 2.6 times more in Alaska 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· 29th of 51
$56.23
AK $110AZ $42.66
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.