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 $15.49 Median $15.85 Typical High $18.62 | Facility | None | $15.49 | $15.85 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $16.22 Typical High $26.92 | Professional | None | $15.49 | $16.22 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $12.30 Median $14.45 Typical High $19.95 | Professional | None | $12.30 | $14.45 | $19.95 |
BCBS Michigan Setting Facility Modifier None Typical Low $19.95 Median $42.66 Typical High $75.86 | Facility | None | $19.95 | $42.66 | $75.86 |
BCBS Michigan Setting Professional Modifier None Typical Low $13.80 Median $15.85 Typical High $58.88 | Professional | None | $13.80 | $15.85 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $37.15 Typical High $45.71 | Professional | None | $10.23 | $37.15 | $45.71 |
Health Alliance Plan Setting Facility Modifier None Typical Low $37.15 Median $95.50 Typical High $234.42 | Facility | None | $37.15 | $95.50 | $234.42 |
Health Alliance Plan Setting Facility Modifier 59 · Distinct service Typical Low $42.66 Median $95.50 Typical High $181.97 | Facility | 59 · Distinct service | $42.66 | $95.50 | $181.97 |
Health Alliance Plan Setting Professional Modifier None Typical Low $15.14 Median $25.12 Typical High $67.61 | Professional | None | $15.14 | $25.12 | $67.61 |
Health Alliance Plan Setting Professional Modifier 59 · Distinct service Typical Low $15.85 Median $24.55 Typical High $60.26 | Professional | 59 · Distinct service | $15.85 | $24.55 | $60.26 |
Priority Health Setting Professional Modifier None Typical Low $10.23 Median $37.15 Typical High $45.71 | Professional | None | $10.23 | $37.15 | $45.71 |
United Setting Facility Modifier None Typical Low $74.13 Median $95.50 Typical High $204.17 | Facility | None | $74.13 | $95.50 | $204.17 |
United Setting Professional Modifier None Typical Low $17.78 Median $26.30 Typical High $39.81 | Professional | None | $17.78 | $26.30 | $39.81 |
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 |
|---|---|---|---|---|---|
Health Alliance Plan Setting Facility Modifier XS · Separate structure Typical Low $75.86 Median $123.03 Typical High $812.83 | Facility | XS · Separate structure | $75.86 | $123.03 | $812.83 |
Health Alliance Plan Setting Facility Modifier XU · Unusual separate service Typical Low $46.77 Median $97.72 Typical High $162.18 | Facility | XU · Unusual separate service | $46.77 | $97.72 | $162.18 |
Where Michigan sits
The same service costs 7.4 times more in Vermont 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· 9th of 51
$43.65
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.