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 $4.57 Median $4.57 Typical High $4.79 | Facility | None | $4.57 | $4.57 | $4.79 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.79 Typical High $4.79 | Professional | None | $4.37 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.69 Median $0.72 Typical High $0.72 | Professional | 55 · Aftercare only | $0.69 | $0.72 | $0.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.46 Median $0.48 Typical High $0.48 | Professional | 56 · Pre-op care only | $0.46 | $0.48 | $0.48 |
Ambetter Setting Professional Modifier None Typical Low $3.89 Median $5.25 Typical High $5.25 | Professional | None | $3.89 | $5.25 | $5.25 |
BCBS Michigan Setting Facility Modifier None Typical Low $6.17 Median $15.14 Typical High $28.18 | Facility | None | $6.17 | $15.14 | $28.18 |
BCBS Michigan Setting Professional Modifier None Typical Low $4.79 Median $5.13 Typical High $5.13 | Professional | None | $4.79 | $5.13 | $5.13 |
CareSource Setting Facility Modifier None Typical Low $3.31 Median $3.31 Typical High $3.31 | Facility | None | $3.31 | $3.31 | $3.31 |
CareSource Setting Professional Modifier None Typical Low $5.13 Median $7.08 Typical High $7.24 | Professional | None | $5.13 | $7.08 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $3.24 | Facility | None | $3.09 | $3.09 | $3.24 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $3.24 Typical High $3.24 | Professional | None | $2.57 | $3.24 | $3.24 |
Health Alliance Plan Setting Facility Modifier None Typical Low $3.89 Median $7.76 Typical High $10.72 | Facility | None | $3.89 | $7.76 | $10.72 |
Health Alliance Plan Setting Professional Modifier None Typical Low $3.24 Median $4.07 Typical High $5.25 | Professional | None | $3.24 | $4.07 | $5.25 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.58 Median $0.58 Typical High $0.58 | Professional | 55 · Aftercare only | $0.58 | $0.58 | $0.58 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.39 Median $0.39 Typical High $0.39 | Professional | 56 · Pre-op care only | $0.39 | $0.39 | $0.39 |
Priority Health Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $3.24 | Facility | None | $3.09 | $3.09 | $3.24 |
Priority Health Setting Professional Modifier None Typical Low $3.02 Median $3.24 Typical High $3.63 | Professional | None | $3.02 | $3.24 | $3.63 |
United Setting Professional Modifier None Typical Low $1.82 Median $2.40 Typical High $3.39 | Professional | None | $1.82 | $2.40 | $3.39 |
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 $5.13 Median $5.13 Typical High $5.13 | Professional | RR · Rental | $5.13 | $5.13 | $5.13 |
Where Michigan sits
The same service costs 3.2 times more in Kansas than in Missouri. 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· 11th of 51
$4.57
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.