How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $75.86 Median $77.62 Typical High $83.18 | Facility | None | $75.86 | $77.62 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $79.43 Typical High $85.11 | Professional | None | $75.86 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $41.69 | Professional | 52 · Reduced service | $38.02 | $38.02 | $41.69 |
Ambetter Setting Professional Modifier None Typical Low $57.54 Median $64.57 Typical High $67.61 | Professional | None | $57.54 | $64.57 | $67.61 |
BCBS Michigan Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
BCBS Michigan Setting Professional Modifier None Typical Low $72.44 Median $77.62 Typical High $102.33 | Professional | None | $72.44 | $77.62 | $102.33 |
CareSource Setting Professional Modifier None Typical Low $75.86 Median $102.33 Typical High $120.23 | Professional | None | $75.86 | $102.33 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $177.83 | Professional | None | $60.26 | $83.18 | $177.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $32.36 Median $36.31 Typical High $100.00 | Facility | None | $32.36 | $36.31 | $100.00 |
Health Alliance Plan Setting Professional Modifier None Typical Low $12.30 Median $77.62 Typical High $87.10 | Professional | None | $12.30 | $77.62 | $87.10 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $42.66 | Professional | 52 · Reduced service | $38.90 | $38.90 | $42.66 |
Priority Health Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $147.91 | Professional | None | $58.88 | $77.62 | $147.91 |
United Setting Facility Modifier None Typical Low $104.71 Median $134.90 Typical High $281.84 | Facility | None | $104.71 | $134.90 | $281.84 |
United Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $95.50 | Professional | None | $77.62 | $87.10 | $95.50 |
4 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 $72.44 Median $87.10 Typical High $87.10 | Professional | 25 · Same-day visit | $72.44 | $87.10 | $87.10 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 33 · Preventive service | $85.11 | $85.11 | $85.11 |
Health Alliance Plan Setting Professional Modifier 25 · Same-day visit Typical Low $66.07 Median $87.10 Typical High $134.90 | Professional | 25 · Same-day visit | $66.07 | $87.10 | $134.90 |
Health Alliance Plan Setting Professional Modifier 33 · Preventive service Typical Low $67.61 Median $79.43 Typical High $102.33 | Professional | 33 · Preventive service | $67.61 | $79.43 | $102.33 |
Where Michigan sits
The same service costs 2.8 times more in Alaska than in New York. 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
$77.62
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.