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 $20.89 Median $20.89 Typical High $22.39 | Facility | None | $20.89 | $20.89 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $22.39 Typical High $23.44 | Professional | None | $20.89 | $22.39 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $10.47 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $4.17 | $4.47 | $4.47 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $25.12 Typical High $42.66 | Professional | None | $14.45 | $25.12 | $42.66 |
BCBS Michigan Setting Facility Modifier None Typical Low $28.84 Median $72.44 Typical High $144.54 | Facility | None | $28.84 | $72.44 | $144.54 |
BCBS Michigan Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $26.30 | Professional | None | $25.12 | $25.12 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $21.88 Typical High $34.67 | Professional | None | $16.22 | $21.88 | $34.67 |
Health Alliance Plan Setting Facility Modifier None Typical Low $20.89 Median $51.29 Typical High $147.91 | Facility | None | $20.89 | $51.29 | $147.91 |
Health Alliance Plan Setting Professional Modifier None Typical Low $19.05 Median $21.38 Typical High $25.12 | Professional | None | $19.05 | $21.38 | $25.12 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $10.72 | $10.72 | $10.72 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 53 · Discontinued | $4.27 | $4.27 | $4.27 |
Priority Health Setting Professional Modifier None Typical Low $15.14 Median $20.42 Typical High $30.90 | Professional | None | $15.14 | $20.42 | $30.90 |
United Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $371.54 | Facility | None | $138.04 | $177.83 | $371.54 |
United Setting Professional Modifier None Typical Low $19.05 Median $21.38 Typical High $22.91 | Professional | None | $19.05 | $21.38 | $22.91 |
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 $19.95 Median $19.95 Typical High $19.95 | Professional | GP · Physical therapy plan | $19.95 | $19.95 | $19.95 |
Where Michigan sits
The same service costs 2.3 times more in Minnesota than in Kentucky. 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· 25th 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.