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 $3.80 Median $3.80 Typical High $3.98 | Facility | None | $3.80 | $3.80 | $3.98 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $3.98 Typical High $3.98 | Professional | None | $3.80 | $3.98 | $3.98 |
BCBS Michigan Setting Facility Modifier None Typical Low $5.13 Median $12.02 Typical High $22.39 | Facility | None | $5.13 | $12.02 | $22.39 |
BCBS Michigan Setting Professional Modifier None Typical Low $4.07 Median $4.27 Typical High $4.27 | Professional | None | $4.07 | $4.27 | $4.27 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $2.63 Typical High $2.63 | Professional | None | $2.19 | $2.63 | $2.63 |
Health Alliance Plan Setting Facility Modifier None Typical Low $3.24 Median $8.32 Typical High $8.91 | Facility | None | $3.24 | $8.32 | $8.91 |
Health Alliance Plan Setting Professional Modifier None Typical Low $3.09 Median $3.24 Typical High $4.07 | Professional | None | $3.09 | $3.24 | $4.07 |
Priority Health Setting Professional Modifier None Typical Low $2.19 Median $2.63 Typical High $2.63 | Professional | None | $2.19 | $2.63 | $2.63 |
United Setting Professional Modifier None Typical Low $1.51 Median $2.00 Typical High $2.51 | Professional | None | $1.51 | $2.00 | $2.51 |
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 $4.27 Median $4.27 Typical High $4.27 | Professional | RR · Rental | $4.27 | $4.27 | $4.27 |
Where Michigan sits
The same service costs 2.8 times more in Hawaii than in Colorado. 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
$3.55
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.