How much rates vary
Facilitymedian $1,479 · 10th to 90th $372 to $3,236Professionalmedian $603 · 10th to 90th $148 to $759
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 $660.69 Median $660.69 Typical High $707.95 | Facility | None | $660.69 | $660.69 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $676.08 Typical High $1,023.29 | Professional | None | $426.58 | $676.08 | $1,023.29 |
Aetna Setting Professional Modifier RR · Rental Typical Low $134.90 Median $154.88 Typical High $181.97 | Professional | RR · Rental | $134.90 | $154.88 | $181.97 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $501.19 Median $512.86 Typical High $776.25 | Professional | UE · Used equipment | $501.19 | $512.86 | $776.25 |
BCBS Michigan Setting Facility Modifier None Typical Low $870.96 Median $1,862.09 Typical High $3,548.13 | Facility | None | $870.96 | $1,862.09 | $3,548.13 |
BCBS Michigan Setting Professional Modifier None Typical Low $58.88 Median $724.44 Typical High $758.58 | Professional | None | $58.88 | $724.44 | $758.58 |
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | RR · Rental | $58.88 | $58.88 | $58.88 |
CareSource Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $645.65 | Facility | None | $47.86 | $47.86 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $741.31 | Professional | None | $316.23 | $371.54 | $741.31 |
Cigna Setting Professional Modifier RR · Rental Typical Low $31.62 Median $37.15 Typical High $74.13 | Professional | RR · Rental | $31.62 | $37.15 | $74.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $602.56 Median $1,479.11 Typical High $1,621.81 | Facility | None | $602.56 | $1,479.11 | $1,621.81 |
Health Alliance Plan Setting Professional Modifier None Typical Low $60.26 Median $602.56 Typical High $741.31 | Professional | None | $60.26 | $602.56 | $741.31 |
Health Alliance Plan Setting Professional Modifier RR · Rental Typical Low $54.95 Median $60.26 Typical High $83.18 | Professional | RR · Rental | $54.95 | $60.26 | $83.18 |
Health Alliance Plan Setting Professional Modifier UE · Used equipment Typical Low $407.38 Median $457.09 Typical High $562.34 | Professional | UE · Used equipment | $407.38 | $457.09 | $562.34 |
Priority Health Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Priority Health Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $741.31 | Professional | None | $316.23 | $371.54 | $741.31 |
Priority Health Setting Professional Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $74.13 | Professional | RR · Rental | $37.15 | $37.15 | $74.13 |
United Setting Professional Modifier None Typical Low $263.03 Median $331.13 Typical High $512.86 | Professional | None | $263.03 | $331.13 | $512.86 |
United Setting Professional Modifier RR · Rental Typical Low $30.20 Median $45.71 Typical High $67.61 | Professional | RR · Rental | $30.20 | $45.71 | $67.61 |
United Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $245.47 Typical High $389.05 | Professional | UE · Used equipment | $199.53 | $245.47 | $389.05 |
2 more rates 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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $40.74 | Professional | MS · Maintenance fee | $29.51 | $29.51 | $40.74 |
Priority Health Setting Professional Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $41.69 | Professional | MS · Maintenance fee | $29.51 | $29.51 | $41.69 |
Where Michigan sits
The same service costs 4.2 times more in North Dakota than in Rhode Island. 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
$603
ND $851RI $204
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.