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 $10.00 Median $10.47 Typical High $13.18 | Facility | None | $10.00 | $10.47 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.47 Typical High $13.49 | Professional | None | $10.00 | $10.47 | $13.49 |
BCBS Michigan Setting Facility Modifier None Typical Low $14.45 Median $29.51 Typical High $56.23 | Facility | None | $14.45 | $29.51 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $21.38 Typical High $25.70 | Professional | None | $7.08 | $21.38 | $25.70 |
Health Alliance Plan Setting Facility Modifier None Typical Low $41.69 Median $131.83 Typical High $562.34 | Facility | None | $41.69 | $131.83 | $562.34 |
Health Alliance Plan Setting Professional Modifier None Typical Low $10.96 Median $13.49 Typical High $20.42 | Professional | None | $10.96 | $13.49 | $20.42 |
Priority Health Setting Professional Modifier None Typical Low $7.08 Median $21.38 Typical High $25.70 | Professional | None | $7.08 | $21.38 | $25.70 |
United Setting Professional Modifier None Typical Low $12.30 Median $15.49 Typical High $22.91 | Professional | None | $12.30 | $15.49 | $22.91 |
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 $66.07 Median $89.13 Typical High $204.17 | Facility | 59 · Distinct service | $66.07 | $89.13 | $204.17 |
Health Alliance Plan Setting Facility Modifier XP · Separate practitioner Typical Low $158.49 Median $316.23 Typical High $933.25 | Facility | XP · Separate practitioner | $158.49 | $316.23 | $933.25 |
Health Alliance Plan Setting Facility Modifier XU · Unusual separate service Typical Low $79.43 Median $128.82 Typical High $794.33 | Facility | XU · Unusual separate service | $79.43 | $128.82 | $794.33 |
Where Michigan sits
The same service costs 9.3 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· 7th of 51
$63.10
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.