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 $416.87 Median $416.87 Typical High $446.68 | Facility | None | $416.87 | $416.87 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $346.74 | $426.58 | $426.58 |
Aetna Setting Professional Modifier RR · Rental Typical Low $77.62 Median $95.50 Typical High $112.20 | Professional | RR · Rental | $77.62 | $95.50 | $112.20 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $316.23 Typical High $316.23 | Professional | UE · Used equipment | $309.03 | $316.23 | $316.23 |
BCBS Michigan Setting Facility Modifier None Typical Low $549.54 Median $1,288.25 Typical High $2,398.83 | Facility | None | $549.54 | $1,288.25 | $2,398.83 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $42.66 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $42.66 | $44.67 | $44.67 |
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | RR · Rental | $44.67 | $44.67 | $44.67 |
CareSource Setting Facility Modifier None Typical Low $30.20 Median $31.62 Typical High $47.86 | Facility | None | $30.20 | $31.62 | $47.86 |
Cigna Setting Facility Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $38.02 | Facility | RR · Rental | $30.90 | $30.90 | $38.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $281.84 Typical High $562.34 | Professional | None (both parts) | $35.48 | $281.84 | $562.34 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $30.90 | Professional | RR · Rental | $26.30 | $26.30 | $30.90 |
Health Alliance Plan Setting Facility Modifier None Typical Low $57.54 Median $234.42 Typical High $645.65 | Facility | None | $57.54 | $234.42 | $645.65 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $21.88 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $21.88 | $251.19 | $354.81 |
Health Alliance Plan Setting Professional Modifier RR · Rental Typical Low $21.88 Median $35.48 Typical High $54.95 | Professional | RR · Rental | $21.88 | $35.48 | $54.95 |
Health Alliance Plan Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $223.87 Typical High $269.15 | Professional | UE · Used equipment | $165.96 | $223.87 | $269.15 |
Priority Health Setting Facility Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $38.02 | Facility | RR · Rental | $30.90 | $30.90 | $38.02 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $35.48 | $281.84 | $281.84 |
Priority Health Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $34.67 | Professional | RR · Rental | $26.30 | $26.30 | $34.67 |
United Setting Professional Modifier None (both parts) Typical Low $17.78 Median $22.91 Typical High $22.91 | Professional | None (both parts) | $17.78 | $22.91 | $22.91 |
United Setting Professional Modifier RR · Rental Typical Low $17.38 Median $22.91 Typical High $31.62 | Professional | RR · Rental | $17.38 | $22.91 | $31.62 |
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 29.5 times more in Wyoming than in Oklahoma. 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· 41st of 51
$44.67
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.