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 $0.31 Median $0.31 Typical High $0.32 | Facility | None | $0.31 | $0.31 | $0.32 |
Aetna Setting Professional Modifier None Typical Low $0.31 Median $0.32 Typical High $0.32 | Professional | None | $0.31 | $0.32 | $0.32 |
Ambetter Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $25.70 | Professional | None | $22.91 | $22.91 | $25.70 |
BCBS Michigan Setting Facility Modifier None Typical Low $0.41 Median $0.98 Typical High $1.91 | Facility | None | $0.41 | $0.98 | $1.91 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.32 Median $0.34 Typical High $0.34 | Professional | None | $0.32 | $0.34 | $0.34 |
CareSource Setting Professional Modifier None Typical Low $0.34 Median $0.48 Typical High $0.48 | Professional | None | $0.34 | $0.48 | $0.48 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.21 Typical High $0.21 | Professional | None | $0.17 | $0.21 | $0.21 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.21 Median $0.26 Typical High $0.72 | Facility | None | $0.21 | $0.26 | $0.72 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.25 Median $0.26 Typical High $0.33 | Professional | None | $0.25 | $0.26 | $0.33 |
Priority Health Setting Professional Modifier None Typical Low $0.17 Median $0.21 Typical High $0.28 | Professional | None | $0.17 | $0.21 | $0.28 |
United Setting Professional Modifier None Typical Low $0.12 Median $0.16 Typical High $0.21 | Professional | None | $0.12 | $0.16 | $0.21 |
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 $0.34 Median $0.34 Typical High $0.34 | Professional | RR · Rental | $0.34 | $0.34 | $0.34 |
Where Michigan sits
The same service costs 2.9 times more in Hawaii than in Utah. 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· 10th of 51
$0.28
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.