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 $120.23 Typical High $158.49 | Facility | None | $97.72 | $120.23 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $117.49 Typical High $134.90 | Professional | None | $93.33 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $64.57 Typical High $67.61 | Professional | 52 · Reduced service | $61.66 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.70 Typical High $26.92 | Professional | 53 · Discontinued | $24.55 | $25.70 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | None | $102.33 | $102.33 | $120.23 |
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 $162.18 Median $190.55 Typical High $208.93 | Professional | None | $162.18 | $190.55 | $208.93 |
CareSource Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $158.49 | Professional | None | $93.33 | $114.82 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $120.23 Typical High $120.23 | Professional | None | $97.72 | $120.23 | $120.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $100.00 Median $158.49 Typical High $338.84 | Facility | None | $100.00 | $158.49 | $338.84 |
Health Alliance Plan Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $141.25 | Professional | None | $95.50 | $117.49 | $141.25 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $70.79 | Professional | 52 · Reduced service | $64.57 | $64.57 | $70.79 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $28.18 | Professional | 53 · Discontinued | $25.70 | $25.70 | $28.18 |
Priority Health Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $120.23 | Professional | None | $100.00 | $120.23 | $120.23 |
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 $114.82 Median $120.23 Typical High $138.04 | Professional | None | $114.82 | $120.23 | $138.04 |
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 |
|---|---|---|---|---|---|
BCBS Michigan Setting Professional Modifier HO · Master's level Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | HO · Master's level | $204.17 | $204.17 | $204.17 |
Where Michigan sits
The same service costs 2.3 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
$120
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.