How much rates vary
Facilitymedian $30 · 10th to 90th $3 to $63Professionalmedian $11 · 10th to 90th $1 to $14
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 $13.80 | Facility | None | $12.88 | $12.88 | $13.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $11.75 Median $13.18 Typical High $13.80 | Professional | None (both parts) | $11.75 | $13.18 | $13.80 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.44 Median $1.00 Typical High $3.02 | Professional | RR · Rental | $0.44 | $1.00 | $3.02 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $8.51 Median $9.77 Typical High $10.23 | Professional | UE · Used equipment | $8.51 | $9.77 | $10.23 |
BCBS Michigan Setting Facility Modifier None Typical Low $16.60 Median $39.81 Typical High $74.13 | Facility | None | $16.60 | $39.81 | $74.13 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $1.41 Median $13.18 Typical High $13.80 | Professional | None (both parts) | $1.41 | $13.18 | $13.80 |
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | RR · Rental | $1.41 | $1.41 | $1.41 |
BCBS Michigan Setting Professional Modifier UE · Used equipment Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | UE · Used equipment | $10.47 | $10.47 | $10.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6.61 Median $7.08 Typical High $9.33 | Professional | None (both parts) | $6.61 | $7.08 | $9.33 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $0.66 | Professional | RR · Rental | $0.60 | $0.60 | $0.66 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | UE · Used equipment | $5.37 | $5.37 | $5.37 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2.63 Median $10.72 Typical High $29.51 | Facility | None | $2.63 | $10.72 | $29.51 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $1.00 Median $10.72 Typical High $13.18 | Professional | None (both parts) | $1.00 | $10.72 | $13.18 |
Health Alliance Plan Setting Professional Modifier RR · Rental Typical Low $0.83 Median $1.17 Typical High $1.51 | Professional | RR · Rental | $0.83 | $1.17 | $1.51 |
Health Alliance Plan Setting Professional Modifier UE · Used equipment Typical Low $7.59 Median $7.94 Typical High $10.00 | Professional | UE · Used equipment | $7.59 | $7.94 | $10.00 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $6.61 Median $6.61 Typical High $12.59 | Professional | None (both parts) | $6.61 | $6.61 | $12.59 |
Priority Health Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.66 Typical High $1.02 | Professional | RR · Rental | $0.60 | $0.66 | $1.02 |
United Setting Professional Modifier None (both parts) Typical Low $4.90 Median $6.46 Typical High $8.32 | Professional | None (both parts) | $4.90 | $6.46 | $8.32 |
United Setting Professional Modifier RR · Rental Typical Low $0.51 Median $0.62 Typical High $0.74 | Professional | RR · Rental | $0.51 | $0.62 | $0.74 |
United Setting Professional Modifier UE · Used equipment Typical Low $3.72 Median $4.90 Typical High $6.31 | Professional | UE · Used equipment | $3.72 | $4.90 | $6.31 |
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 |
|---|---|---|---|---|---|
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $0.74 Median $0.74 Typical High $0.78 | Professional | 26 · Professional part | $0.74 | $0.74 | $0.78 |
Where Michigan sits
The same service costs 11.2 times more in Minnesota than in Illinois. 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
$10.72
MN $15.14IL $1.35
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.