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 $3.02 Median $3.02 Typical High $3.16 | Facility | None | $3.02 | $3.02 | $3.16 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.16 Typical High $3.16 | Professional | None | $3.02 | $3.16 | $3.16 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.46 Median $0.48 Typical High $0.48 | Professional | 55 · Aftercare only | $0.46 | $0.48 | $0.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.31 Median $0.32 Typical High $0.32 | Professional | 56 · Pre-op care only | $0.31 | $0.32 | $0.32 |
Ambetter Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
BCBS Michigan Setting Facility Modifier None Typical Low $4.07 Median $10.00 Typical High $19.05 | Facility | None | $4.07 | $10.00 | $19.05 |
BCBS Michigan Setting Professional Modifier None Typical Low $3.24 Median $3.39 Typical High $3.39 | Professional | None | $3.24 | $3.39 | $3.39 |
CareSource Setting Facility Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Facility | None | $2.19 | $2.19 | $2.19 |
Cigna Setting Facility Modifier None Typical Low $1.82 Median $2.04 Typical High $2.04 | Facility | None | $1.82 | $2.04 | $2.04 |
Cigna Setting Professional Modifier None Typical Low $1.74 Median $2.14 Typical High $2.14 | Professional | None | $1.74 | $2.14 | $2.14 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2.63 Median $7.24 Typical High $15.49 | Facility | None | $2.63 | $7.24 | $15.49 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2.14 Median $2.69 Typical High $3.47 | Professional | None | $2.14 | $2.69 | $3.47 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.39 Median $0.39 Typical High $0.39 | Professional | 55 · Aftercare only | $0.39 | $0.39 | $0.39 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.26 Typical High $0.26 | Professional | 56 · Pre-op care only | $0.26 | $0.26 | $0.26 |
Priority Health Setting Facility Modifier None Typical Low $1.82 Median $2.04 Typical High $2.04 | Facility | None | $1.82 | $2.04 | $2.04 |
Priority Health Setting Professional Modifier None Typical Low $1.82 Median $2.14 Typical High $2.40 | Professional | None | $1.82 | $2.14 | $2.40 |
United Setting Professional Modifier None Typical Low $1.20 Median $1.58 Typical High $2.24 | Professional | None | $1.20 | $1.58 | $2.24 |
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 |
|---|---|---|---|---|---|
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | RR · Rental | $3.39 | $3.39 | $3.39 |
Where Michigan sits
The same service costs 3.8 times more in Kansas than in Alabama. 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· 7th of 51
$3.02
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.