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 $35.48 Median $35.48 Typical High $45.71 | Facility | None | $35.48 | $35.48 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $45.71 Typical High $45.71 | Professional | None | $35.48 | $45.71 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
BCBS Michigan Setting Facility Modifier None Typical Low $38.90 Median $87.10 Typical High $169.82 | Facility | None | $38.90 | $87.10 | $169.82 |
BCBS Michigan Setting Professional Modifier None Typical Low $41.69 Median $43.65 Typical High $45.71 | Professional | None | $41.69 | $43.65 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $42.66 Typical High $89.13 | Professional | None | $34.67 | $42.66 | $89.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $37.15 Median $147.91 Typical High $165.96 | Facility | None | $37.15 | $147.91 | $165.96 |
Health Alliance Plan Setting Professional Modifier None Typical Low $37.15 Median $56.23 Typical High $57.54 | Professional | None | $37.15 | $56.23 | $57.54 |
Priority Health Setting Professional Modifier None Typical Low $34.67 Median $42.66 Typical High $79.43 | Professional | None | $34.67 | $42.66 | $79.43 |
United Setting Facility Modifier None Typical Low $22.39 Median $28.84 Typical High $60.26 | Facility | None | $22.39 | $28.84 | $60.26 |
United Setting Professional Modifier None Typical Low $40.74 Median $53.70 Typical High $74.13 | Professional | None | $40.74 | $53.70 | $74.13 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | GC · Resident with teaching physician | $58.88 | $58.88 | $58.88 |
Health Alliance Plan Setting Professional Modifier 25 · Same-day visit Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 25 · Same-day visit | $97.72 | $97.72 | $97.72 |
Where Michigan sits
The same service costs 3.8 times more in Alaska than in Hawaii. 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· 31st of 51
$50.12
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.