How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $22.39 Typical High $22.39 | Professional | None | $20.89 | $22.39 | $22.39 |
BCBS Michigan Setting Facility Modifier None Typical Low $22.91 Median $26.92 Typical High $30.90 | Facility | None | $22.91 | $26.92 | $30.90 |
BCBS Michigan Setting Professional Modifier None Typical Low $23.99 Median $29.51 Typical High $30.90 | Professional | None | $23.99 | $29.51 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $25.12 | Professional | None | $19.05 | $19.05 | $25.12 |
Health Alliance Plan Setting Facility Modifier None Typical Low $18.20 Median $85.11 Typical High $91.20 | Facility | None | $18.20 | $85.11 | $91.20 |
Health Alliance Plan Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $30.90 | Professional | None | $18.20 | $18.20 | $30.90 |
Priority Health Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $24.55 | Professional | None | $19.05 | $19.05 | $24.55 |
United Setting Facility Modifier None Typical Low $38.90 Median $50.12 Typical High $104.71 | Facility | None | $38.90 | $50.12 | $104.71 |
United Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $26.92 | Professional | None | $20.89 | $23.99 | $26.92 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | HN · Bachelor's level | $7.08 | $7.08 | $7.08 |
United Setting Professional Modifier HO · Master's level Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | HO · Master's level | $8.32 | $8.32 | $8.32 |
United Setting Professional Modifier HP · Doctoral level Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | HP · Doctoral level | $8.32 | $8.32 | $8.32 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier U3 · State-defined Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | U3 · State-defined | $23.99 | $23.99 | $23.99 |
Where Michigan sits
The same service costs 13.2 times more in North Carolina 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· 15th of 51
$22.39
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.