How much rates vary
Facilitymedian $45 · 10th to 90th $23 to $132Professionalmedian $36 · 10th to 90th $21 to $49
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 $22.39 Median $33.11 Typical High $48.98 | Facility | None | $22.39 | $33.11 | $48.98 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $13.80 Median $14.45 Typical High $24.55 | Facility | 52 · Reduced service | $13.80 | $14.45 | $24.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.50 Median $5.75 Typical High $9.77 | Facility | 53 · Discontinued | $5.50 | $5.75 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $33.88 Typical High $46.77 | Professional | None | $19.95 | $33.88 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $18.20 Typical High $23.44 | Professional | 52 · Reduced service | $12.88 | $18.20 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $7.24 Typical High $9.33 | Professional | 53 · Discontinued | $5.25 | $7.24 | $9.33 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $43.65 Typical High $43.65 | Professional | None | $21.88 | $43.65 | $43.65 |
BCBS Michigan Setting Facility Modifier None Typical Low $52.48 Median $58.88 Typical High $75.86 | Facility | None | $52.48 | $58.88 | $75.86 |
BCBS Michigan Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $75.86 | Professional | None | $67.61 | $70.79 | $75.86 |
CareSource Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $54.95 | Professional | None | $31.62 | $38.02 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $47.86 | Professional | None | $34.67 | $47.86 | $47.86 |
Health Alliance Plan Setting Facility Modifier None Typical Low $23.44 Median $48.98 Typical High $138.04 | Facility | None | $23.44 | $48.98 | $138.04 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $13.80 Median $14.45 Typical High $24.55 | Facility | 52 · Reduced service | $13.80 | $14.45 | $24.55 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $5.50 Median $5.75 Typical High $9.77 | Facility | 53 · Discontinued | $5.50 | $5.75 | $9.77 |
Health Alliance Plan Setting Professional Modifier None Typical Low $20.89 Median $33.88 Typical High $48.98 | Professional | None | $20.89 | $33.88 | $48.98 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $16.98 Typical High $24.55 | Professional | 52 · Reduced service | $13.80 | $16.98 | $24.55 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.76 Typical High $9.77 | Professional | 53 · Discontinued | $5.50 | $6.76 | $9.77 |
Priority Health Setting Professional Modifier None Typical Low $35.48 Median $47.86 Typical High $47.86 | Professional | None | $35.48 | $47.86 | $47.86 |
United Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $371.54 | Facility | None | $138.04 | $177.83 | $371.54 |
United Setting Professional Modifier None Typical Low $26.92 Median $42.66 Typical High $52.48 | Professional | None | $26.92 | $42.66 | $52.48 |
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 $25.12 Median $28.84 Typical High $48.98 | Facility | AF · Specialist physician | $25.12 | $28.84 | $48.98 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $18.62 Median $21.88 Typical High $36.31 | Facility | HO · Master's level | $18.62 | $21.88 | $36.31 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $21.38 Median $24.55 Typical High $41.69 | Facility | TD · Registered nurse | $21.38 | $24.55 | $41.69 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $27.54 Median $28.84 Typical High $51.29 | Professional | AF · Specialist physician | $27.54 | $28.84 | $51.29 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $20.89 Median $21.88 Typical High $38.02 | Professional | HO · Master's level | $20.89 | $21.88 | $38.02 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $23.44 Median $24.55 Typical High $43.65 | Professional | TD · Registered nurse | $23.44 | $24.55 | $43.65 |
BCBS Michigan Setting Professional Modifier HO · Master's level Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | HO · Master's level | $72.44 | $72.44 | $72.44 |
Health Alliance Plan Setting Facility Modifier AF · Specialist physician Typical Low $25.12 Median $28.84 Typical High $48.98 | Facility | AF · Specialist physician | $25.12 | $28.84 | $48.98 |
Health Alliance Plan Setting Facility Modifier HO · Master's level Typical Low $18.62 Median $21.88 Typical High $36.31 | Facility | HO · Master's level | $18.62 | $21.88 | $36.31 |
Health Alliance Plan Setting Facility Modifier TD · Registered nurse Typical Low $21.38 Median $24.55 Typical High $41.69 | Facility | TD · Registered nurse | $21.38 | $24.55 | $41.69 |
Where Michigan sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. 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· 38th of 51
$36.31
HI $63.10DC $26.92
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.