How much rates vary
Facilitymedian $100 · 10th to 90th $79 to $257Professionalmedian $87 · 10th to 90th $71 to $110
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 $74.13 Median $95.50 Typical High $109.65 | Facility | None | $74.13 | $95.50 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $87.10 Typical High $102.33 | Professional | None | $66.07 | $87.10 | $102.33 |
Ambetter Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $72.44 | Professional | None | $54.95 | $72.44 | $72.44 |
BCBS Michigan Setting Facility Modifier None Typical Low $93.33 Median $107.15 Typical High $134.90 | Facility | None | $93.33 | $107.15 | $134.90 |
BCBS Michigan Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $154.88 | Professional | None | $95.50 | $134.90 | $154.88 |
CareSource Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $120.23 | Professional | None | $70.79 | $87.10 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $109.65 | Professional | None | $70.79 | $97.72 | $109.65 |
Health Alliance Plan Setting Facility Modifier None Typical Low $81.28 Median $109.65 Typical High $467.74 | Facility | None | $81.28 | $109.65 | $467.74 |
Health Alliance Plan Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $109.65 | Professional | None | $70.79 | $87.10 | $109.65 |
Priority Health Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $109.65 | Professional | None | $70.79 | $97.72 | $109.65 |
United Setting Facility Modifier None Typical Low $223.87 Median $288.40 Typical High $602.56 | Facility | None | $223.87 | $288.40 | $602.56 |
United Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $112.20 | Professional | None | $89.13 | $93.33 | $112.20 |
10 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 $87.10 Median $100.00 Typical High $109.65 | Facility | AF · Specialist physician | $87.10 | $100.00 | $109.65 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $64.57 Median $74.13 Typical High $81.28 | Facility | HO · Master's level | $64.57 | $74.13 | $81.28 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $72.44 Median $85.11 Typical High $93.33 | Facility | TD · Registered nurse | $72.44 | $85.11 | $93.33 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $95.50 Median $100.00 Typical High $114.82 | Professional | AF · Specialist physician | $95.50 | $100.00 | $114.82 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $70.79 Median $74.13 Typical High $85.11 | Professional | HO · Master's level | $70.79 | $74.13 | $85.11 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $81.28 Median $85.11 Typical High $97.72 | Professional | TD · Registered nurse | $81.28 | $85.11 | $97.72 |
BCBS Michigan Setting Professional Modifier HO · Master's level Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | HO · Master's level | $120.23 | $120.23 | $120.23 |
Health Alliance Plan Setting Facility Modifier AF · Specialist physician Typical Low $87.10 Median $100.00 Typical High $109.65 | Facility | AF · Specialist physician | $87.10 | $100.00 | $109.65 |
Health Alliance Plan Setting Facility Modifier HO · Master's level Typical Low $64.57 Median $74.13 Typical High $81.28 | Facility | HO · Master's level | $64.57 | $74.13 | $81.28 |
Health Alliance Plan Setting Facility Modifier TD · Registered nurse Typical Low $72.44 Median $85.11 Typical High $93.33 | Facility | TD · Registered nurse | $72.44 | $85.11 | $93.33 |
Where Michigan sits
The same service costs 2.2 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· 34th of 51
$87.10
AK $158AZ $70.79
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.