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 $12.59 Median $13.18 Typical High $15.85 | Facility | None | $12.59 | $13.18 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $13.49 Typical High $24.55 | Professional | None | $12.59 | $13.49 | $24.55 |
Ambetter Setting Professional Modifier None Typical Low $12.30 Median $12.88 Typical High $12.88 | Professional | None | $12.30 | $12.88 | $12.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $25.12 Median $51.29 Typical High $100.00 | Facility | None | $25.12 | $51.29 | $100.00 |
BCBS Michigan Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $26.92 | Professional | None | $19.05 | $19.95 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $21.88 Typical High $26.92 | Professional | None | $9.12 | $21.88 | $26.92 |
Health Alliance Plan Setting Facility Modifier None Typical Low $43.65 Median $100.00 Typical High $263.03 | Facility | None | $43.65 | $100.00 | $263.03 |
Health Alliance Plan Setting Professional Modifier None Typical Low $13.18 Median $16.60 Typical High $104.71 | Professional | None | $13.18 | $16.60 | $104.71 |
Priority Health Setting Professional Modifier None Typical Low $9.12 Median $21.88 Typical High $26.92 | Professional | None | $9.12 | $21.88 | $26.92 |
United Setting Facility Modifier None Typical Low $47.86 Median $63.10 Typical High $131.83 | Facility | None | $47.86 | $63.10 | $131.83 |
United Setting Professional Modifier None Typical Low $15.14 Median $18.20 Typical High $25.12 | Professional | None | $15.14 | $18.20 | $25.12 |
3 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 |
|---|---|---|---|---|---|
Health Alliance Plan Setting Facility Modifier 59 · Distinct service Typical Low $33.11 Median $91.20 Typical High $524.81 | Facility | 59 · Distinct service | $33.11 | $91.20 | $524.81 |
Health Alliance Plan Setting Facility Modifier XP · Separate practitioner Typical Low $57.54 Median $181.97 Typical High $234.42 | Facility | XP · Separate practitioner | $57.54 | $181.97 | $234.42 |
Health Alliance Plan Setting Facility Modifier XU · Unusual separate service Typical Low $42.66 Median $128.82 Typical High $199.53 | Facility | XU · Unusual separate service | $42.66 | $128.82 | $199.53 |
Where Michigan sits
The same service costs 55.0 times more in Alabama than in New York. 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· 7th of 51
$64.57
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.