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 $25.70 Median $26.30 Typical High $27.54 | Facility | None | $25.70 | $26.30 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | None | $25.70 | $25.70 | $26.30 |
BCBS Michigan Setting Facility Modifier None Typical Low $37.15 Median $52.48 Typical High $69.18 | Facility | None | $37.15 | $52.48 | $69.18 |
BCBS Michigan Setting Professional Modifier None Typical Low $33.11 Median $34.67 Typical High $34.67 | Professional | None | $33.11 | $34.67 | $34.67 |
CareSource Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $53.70 | Facility | None | $15.14 | $15.14 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $29.51 Typical High $77.62 | Professional | None | $23.99 | $29.51 | $77.62 |
Health Alliance Plan Setting Facility Modifier None Typical Low $25.70 Median $27.54 Typical High $93.33 | Facility | None | $25.70 | $27.54 | $93.33 |
Health Alliance Plan Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $39.81 | Professional | None | $25.70 | $25.70 | $39.81 |
Priority Health Setting Professional Modifier None Typical Low $23.44 Median $28.84 Typical High $70.79 | Professional | None | $23.44 | $28.84 | $70.79 |
United Setting Facility Modifier None Typical Low $26.92 Median $33.88 Typical High $37.15 | Facility | None | $26.92 | $33.88 | $37.15 |
United Setting Professional Modifier None Typical Low $27.54 Median $30.20 Typical High $32.36 | Professional | None | $27.54 | $30.20 | $32.36 |
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 GP · Physical therapy plan Typical Low $26.30 Median $33.88 Typical High $34.67 | Professional | GP · Physical therapy plan | $26.30 | $33.88 | $34.67 |
Where Michigan sits
The same service costs 3.2 times more in Alaska 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· 41st of 51
$27.54
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.