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 $0.27 Median $0.27 Typical High $0.30 | Facility | None | $0.27 | $0.27 | $0.30 |
Aetna Setting Professional Modifier None Typical Low $0.27 Median $0.30 Typical High $0.30 | Professional | None | $0.27 | $0.30 | $0.30 |
Ambetter Setting Professional Modifier None Typical Low $12.02 Median $32.36 Typical High $32.36 | Professional | None | $12.02 | $32.36 | $32.36 |
Ambetter Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | AU · Urologic/ostomy supply | $33.11 | $33.11 | $33.11 |
BCBS Michigan Setting Facility Modifier None Typical Low $0.41 Median $1.00 Typical High $1.91 | Facility | None | $0.41 | $1.00 | $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 Facility Modifier None Typical Low $0.18 Median $0.20 Typical High $0.21 | Facility | None | $0.18 | $0.20 | $0.21 |
CareSource Setting Professional Modifier None Typical Low $0.28 Median $0.39 Typical High $0.39 | Professional | None | $0.28 | $0.39 | $0.39 |
Cigna Setting Facility Modifier None Typical Low $0.19 Median $0.20 Typical High $0.20 | Facility | None | $0.19 | $0.20 | $0.20 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.20 Typical High $0.26 | Professional | None | $0.17 | $0.20 | $0.26 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.18 Median $0.33 Typical High $0.98 | Facility | None | $0.18 | $0.33 | $0.98 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.24 Median $0.33 Typical High $0.43 | Professional | None | $0.24 | $0.33 | $0.43 |
Health Alliance Plan Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.25 Median $0.28 Typical High $0.38 | Professional | AU · Urologic/ostomy supply | $0.25 | $0.28 | $0.38 |
Health Alliance Plan Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.24 Median $0.27 Typical High $0.36 | Professional | AV · With prosthetic/orthotic | $0.24 | $0.27 | $0.36 |
Priority Health Setting Professional Modifier None Typical Low $0.17 Median $0.19 Typical High $0.20 | Professional | None | $0.17 | $0.19 | $0.20 |
United Setting Professional Modifier None Typical Low $0.12 Median $0.16 Typical High $0.24 | Professional | None | $0.12 | $0.16 | $0.24 |
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 $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 2.7 times more in Arkansas 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· 8th of 51
$0.31
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.