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 $141.25 Median $204.17 Typical High $218.78 | Facility | None | $141.25 | $204.17 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $208.93 | Professional | None | $141.25 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $72.44 Typical High $104.71 | Professional | 52 · Reduced service | $70.79 | $72.44 | $104.71 |
Ambetter Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $316.23 | Professional | None | $169.82 | $208.93 | $316.23 |
BCBS Michigan Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
BCBS Michigan Setting Professional Modifier None Typical Low $134.90 Median $144.54 Typical High $151.36 | Professional | None | $134.90 | $144.54 | $151.36 |
CareSource Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $190.55 | Professional | None | $186.21 | $186.21 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $199.53 Typical High $380.19 | Professional | None | $134.90 | $199.53 | $380.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $104.71 Median $141.25 Typical High $436.52 | Facility | None | $104.71 | $141.25 | $436.52 |
Health Alliance Plan Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $208.93 | Professional | None | $144.54 | $181.97 | $208.93 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $102.33 | Professional | 52 · Reduced service | $72.44 | $72.44 | $102.33 |
Priority Health Setting Professional Modifier None Typical Low $120.23 Median $194.98 Typical High $380.19 | Professional | None | $120.23 | $194.98 | $380.19 |
United Setting Facility Modifier None Typical Low $138.04 Median $213.80 Typical High $371.54 | Facility | None | $138.04 | $213.80 | $371.54 |
United Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $223.87 | Professional | None | $120.23 | $169.82 | $223.87 |
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 25 · Same-day visit Typical Low $208.93 Median $208.93 Typical High $218.78 | Professional | 25 · Same-day visit | $208.93 | $208.93 | $218.78 |
Health Alliance Plan Setting Professional Modifier 25 · Same-day visit Typical Low $190.55 Median $213.80 Typical High $316.23 | Professional | 25 · Same-day visit | $190.55 | $213.80 | $316.23 |
Where Michigan sits
The same service costs 2.8 times more in Alaska 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· 36th of 51
$162
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.