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 $12.88 Median $12.88 Typical High $13.49 | Facility | None | $12.88 | $12.88 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $13.49 Typical High $13.49 | Professional | None | $12.88 | $13.49 | $13.49 |
BCBS Michigan Setting Facility Modifier None Typical Low $17.38 Median $40.74 Typical High $75.86 | Facility | None | $17.38 | $40.74 | $75.86 |
BCBS Michigan Setting Professional Modifier None Typical Low $13.80 Median $14.45 Typical High $14.45 | Professional | None | $13.80 | $14.45 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $9.12 Typical High $9.12 | Professional | None | $7.41 | $9.12 | $9.12 |
Health Alliance Plan Setting Facility Modifier None Typical Low $10.96 Median $28.18 Typical High $30.20 | Facility | None | $10.96 | $28.18 | $30.20 |
Health Alliance Plan Setting Professional Modifier None Typical Low $10.47 Median $10.96 Typical High $13.80 | Professional | None | $10.47 | $10.96 | $13.80 |
Priority Health Setting Professional Modifier None Typical Low $7.41 Median $9.12 Typical High $9.12 | Professional | None | $7.41 | $9.12 | $9.12 |
United Setting Professional Modifier None Typical Low $5.13 Median $6.76 Typical High $8.71 | Professional | None | $5.13 | $6.76 | $8.71 |
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 $14.45 Median $14.45 Typical High $14.45 | Professional | RR · Rental | $14.45 | $14.45 | $14.45 |
Where Michigan sits
The same service costs 2.8 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· 14th of 51
$12.02
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.