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 $28.84 Typical High $35.48 | Facility | None | $25.70 | $28.84 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $26.92 Typical High $28.84 | Professional | None | $25.70 | $26.92 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $25.12 | Professional | None | $23.99 | $23.99 | $25.12 |
BCBS Michigan Setting Facility Modifier None Typical Low $20.89 Median $40.74 Typical High $72.44 | Facility | None | $20.89 | $40.74 | $72.44 |
BCBS Michigan Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $33.88 | Professional | None | $24.55 | $25.70 | $33.88 |
CareSource Setting Professional Modifier None Typical Low $25.12 Median $33.88 Typical High $40.74 | Professional | None | $25.12 | $33.88 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $26.92 Typical High $53.70 | Professional | None | $20.89 | $26.92 | $53.70 |
Health Alliance Plan Setting Facility Modifier None Typical Low $26.30 Median $35.48 Typical High $77.62 | Facility | None | $26.30 | $35.48 | $77.62 |
Health Alliance Plan Setting Professional Modifier None Typical Low $26.30 Median $28.84 Typical High $34.67 | Professional | None | $26.30 | $28.84 | $34.67 |
Priority Health Setting Professional Modifier None Typical Low $20.42 Median $26.30 Typical High $43.65 | Professional | None | $20.42 | $26.30 | $43.65 |
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 $25.12 Median $28.18 Typical High $32.36 | Professional | None | $25.12 | $28.18 | $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 |
|---|---|---|---|---|---|
Health Alliance Plan Setting Professional Modifier 25 · Same-day visit Typical Low $43.65 Median $43.65 Typical High $95.50 | Professional | 25 · Same-day visit | $43.65 | $43.65 | $95.50 |
Where Michigan sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 32nd of 51
$26.92
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.