How much rates vary
Facilitymedian $275 · 10th to 90th $15 to $933Professionalmedian $36 · 10th to 90th $12 to $204
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 $199.53 Median $199.53 Typical High $208.93 | Facility | None | $199.53 | $199.53 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $158.49 | $204.17 | $204.17 |
Aetna Setting Professional Modifier RR · Rental Typical Low $15.14 Median $87.10 Typical High $102.33 | Professional | RR · Rental | $15.14 | $87.10 | $102.33 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $147.91 Median $151.36 Typical High $151.36 | Professional | UE · Used equipment | $147.91 | $151.36 | $151.36 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | RR · Rental | $25.12 | $25.12 | $25.12 |
BCBS Michigan Setting Facility Modifier None Typical Low $257.04 Median $616.60 Typical High $1,148.15 | Facility | None | $257.04 | $616.60 | $1,148.15 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $20.42 Median $21.38 Typical High $21.38 | Professional | None (both parts) | $20.42 | $21.38 | $21.38 |
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | RR · Rental | $21.38 | $21.38 | $21.38 |
CareSource Setting Facility Modifier None Typical Low $14.13 Median $31.62 Typical High $47.86 | Facility | None | $14.13 | $31.62 | $47.86 |
CareSource Setting Professional Modifier None (both parts) Typical Low $21.38 Median $30.20 Typical High $35.48 | Professional | None (both parts) | $21.38 | $30.20 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $147.91 | Facility | None | $14.79 | $14.79 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $281.84 | Professional | None (both parts) | $107.15 | $125.89 | $281.84 |
Cigna Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $28.18 | Professional | RR · Rental | $12.59 | $12.59 | $28.18 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | UE · Used equipment | $93.33 | $93.33 | $93.33 |
Health Alliance Plan Setting Facility Modifier None Typical Low $27.54 Median $112.20 Typical High $309.03 | Facility | None | $27.54 | $112.20 | $309.03 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $10.47 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $10.47 | $120.23 | $194.98 |
Health Alliance Plan Setting Professional Modifier RR · Rental Typical Low $10.47 Median $34.67 Typical High $50.12 | Professional | RR · Rental | $10.47 | $34.67 | $50.12 |
Health Alliance Plan Setting Professional Modifier UE · Used equipment Typical Low $79.43 Median $112.20 Typical High $144.54 | Professional | UE · Used equipment | $79.43 | $112.20 | $144.54 |
Priority Health Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $147.91 | Facility | None | $14.79 | $14.79 | $147.91 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $281.84 | Professional | None (both parts) | $107.15 | $125.89 | $281.84 |
Priority Health Setting Professional Modifier RR · Rental Typical Low $12.59 Median $14.79 Typical High $28.18 | Professional | RR · Rental | $12.59 | $14.79 | $28.18 |
Priority Health Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | UE · Used equipment | $93.33 | $93.33 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $11.75 Median $22.91 Typical High $31.62 | Professional | None (both parts) | $11.75 | $22.91 | $31.62 |
United Setting Professional Modifier RR · Rental Typical Low $9.77 Median $17.78 Typical High $22.91 | Professional | RR · Rental | $9.77 | $17.78 | $22.91 |
United Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $61.66 Typical High $107.15 | Professional | UE · Used equipment | $61.66 | $61.66 | $107.15 |
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 $22.91 Median $22.91 Typical High $23.99 | Professional | 26 · Professional part | $22.91 | $22.91 | $23.99 |
Where Michigan sits
The same service costs 12.3 times more in Wyoming 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· 46th of 51
$52.48
WY $302IL $24.55
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.