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 $28.18 Median $36.31 Typical High $38.90 | Facility | None | $28.18 | $36.31 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $32.36 Typical High $38.02 | Professional | None | $26.92 | $32.36 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $17.78 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $7.08 | $7.59 | $7.59 |
Ambetter Setting Professional Modifier None Typical Low $30.20 Median $38.02 Typical High $61.66 | Professional | None | $30.20 | $38.02 | $61.66 |
BCBS Michigan Setting Facility Modifier None Typical Low $43.65 Median $51.29 Typical High $58.88 | Facility | None | $43.65 | $51.29 | $58.88 |
BCBS Michigan Setting Professional Modifier None Typical Low $50.12 Median $58.88 Typical High $58.88 | Professional | None | $50.12 | $58.88 | $58.88 |
CareSource Setting Professional Modifier None Typical Low $24.55 Median $30.20 Typical High $43.65 | Professional | None | $24.55 | $30.20 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $38.90 | Professional | None | $28.84 | $38.90 | $38.90 |
Health Alliance Plan Setting Facility Modifier None Typical Low $31.62 Median $77.62 Typical High $234.42 | Facility | None | $31.62 | $77.62 | $234.42 |
Health Alliance Plan Setting Professional Modifier None Typical Low $26.92 Median $31.62 Typical High $37.15 | Professional | None | $26.92 | $31.62 | $37.15 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $18.62 | $18.62 | $18.62 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $7.59 | $7.59 | $7.59 |
Priority Health Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $38.90 | Professional | None | $28.84 | $38.90 | $38.90 |
United Setting Facility Modifier None Typical Low $457.09 Median $602.56 Typical High $1,258.93 | Facility | None | $457.09 | $602.56 | $1,258.93 |
United Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $43.65 | Professional | None | $33.88 | $33.88 | $43.65 |
2 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 |
|---|---|---|---|---|---|
BCBS Michigan Setting Professional Modifier HO · Master's level Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | HO · Master's level | $63.10 | $63.10 | $63.10 |
Health Alliance Plan Setting Professional Modifier 59 · Distinct service Typical Low $32.36 Median $32.36 Typical High $83.18 | Professional | 59 · Distinct service | $32.36 | $32.36 | $83.18 |
Where Michigan sits
The same service costs 2.1 times more in North Dakota 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· 30th of 51
$35.48
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.