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 $218.78 Median $257.04 Typical High $288.40 | Facility | None | $218.78 | $257.04 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $346.74 | Professional | None | $218.78 | $257.04 | $346.74 |
BCBS Michigan Setting Facility Modifier None Typical Low $851.14 Median $1,995.26 Typical High $3,981.07 | Facility | None | $851.14 | $1,995.26 | $3,981.07 |
BCBS Michigan Setting Professional Modifier None Typical Low $676.08 Median $707.95 Typical High $707.95 | Professional | None | $676.08 | $707.95 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Health Alliance Plan Setting Facility Modifier None Typical Low $269.15 Median $1,047.13 Typical High $1,174.90 | Facility | None | $269.15 | $1,047.13 | $1,174.90 |
Health Alliance Plan Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $537.03 | Professional | None | $269.15 | $346.74 | $537.03 |
Priority Health Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
United Setting Facility Modifier None Typical Low $512.86 Median $537.03 Typical High $537.03 | Facility | None | $512.86 | $537.03 | $537.03 |
United Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $426.58 | Professional | None | $398.11 | $398.11 | $426.58 |
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 HH · Mental health + substance use + JH · Ambulance J to H + NH · Ambulance N to H + RH · Ambulance R to H + SH · Second concurrent infusion Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | HH · Mental health + substance use + JH · Ambulance J to H + NH · Ambulance N to H + RH · Ambulance R to H + SH · Second concurrent infusion | $512.86 | $512.86 | $512.86 |
Where Michigan sits
The same service costs 6.6 times more in Minnesota than in North Carolina. 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· 13th of 51
$708
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.