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 $0.85 Median $0.85 Typical High $0.89 | Facility | None | $0.85 | $0.85 | $0.89 |
Aetna Setting Professional Modifier None Typical Low $0.85 Median $0.89 Typical High $0.89 | Professional | None | $0.85 | $0.89 | $0.89 |
BCBS Michigan Setting Facility Modifier None Typical Low $1.15 Median $2.82 Typical High $5.37 | Facility | None | $1.15 | $2.82 | $5.37 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.89 Median $0.95 Typical High $0.95 | Professional | None | $0.89 | $0.95 | $0.95 |
CareSource Setting Facility Modifier None Typical Low $0.62 Median $0.62 Typical High $0.62 | Facility | None | $0.62 | $0.62 | $0.62 |
Cigna Setting Facility Modifier None Typical Low $0.58 Median $0.58 Typical High $0.62 | Facility | None | $0.58 | $0.58 | $0.62 |
Cigna Setting Professional Modifier None Typical Low $0.46 Median $0.46 Typical High $0.62 | Professional | None | $0.46 | $0.46 | $0.62 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.72 Median $1.82 Typical High $2.00 | Facility | None | $0.72 | $1.82 | $2.00 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.60 Median $0.72 Typical High $0.98 | Professional | None | $0.60 | $0.72 | $0.98 |
Priority Health Setting Facility Modifier None Typical Low $0.58 Median $0.58 Typical High $0.62 | Facility | None | $0.58 | $0.58 | $0.62 |
Priority Health Setting Professional Modifier None Typical Low $0.46 Median $0.46 Typical High $0.71 | Professional | None | $0.46 | $0.46 | $0.71 |
United Setting Professional Modifier None Typical Low $0.34 Median $0.45 Typical High $0.65 | Professional | None | $0.34 | $0.45 | $0.65 |
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 $0.95 Median $0.95 Typical High $0.95 | Professional | RR · Rental | $0.95 | $0.95 | $0.95 |
Where Michigan sits
The same service costs 9.5 times more in Kansas than in Alabama. 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· 16th of 51
$0.79
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.