How much rates vary
Facilitymedian $2,042 · 10th to 90th $912 to $4,467Professionalmedian $501 · 10th to 90th $91 to $1,000
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 $891.25 Median $891.25 Typical High $954.99 | Facility | None | $891.25 | $891.25 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $912.01 Typical High $912.01 | Professional | None (both parts) | $870.96 | $912.01 | $912.01 |
Aetna Setting Professional Modifier RR · Rental Typical Low $426.58 Median $489.78 Typical High $588.84 | Professional | RR · Rental | $426.58 | $489.78 | $588.84 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $676.08 Typical High $676.08 | Professional | UE · Used equipment | $660.69 | $676.08 | $676.08 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $5,128.61 | Facility | None | $1,174.90 | $2,754.23 | $5,128.61 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $91.20 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $91.20 | $97.72 | $97.72 |
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $95.50 | Facility | None | $63.10 | $63.10 | $95.50 |
Cigna Setting Facility Modifier RR · Rental Typical Low $67.61 Median $67.61 Typical High $83.18 | Facility | RR · Rental | $67.61 | $67.61 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $4,073.80 Typical High $5,128.61 | Professional | None (both parts) | $72.44 | $4,073.80 | $5,128.61 |
Cigna Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $72.44 | Professional | RR · Rental | $57.54 | $57.54 | $72.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,380.38 | Facility | None | $1,000.00 | $1,288.25 | $1,380.38 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $467.74 Median $630.96 Typical High $1,000.00 | Professional | None (both parts) | $467.74 | $630.96 | $1,000.00 |
Health Alliance Plan Setting Professional Modifier RR · Rental Typical Low $46.77 Median $70.79 Typical High $109.65 | Professional | RR · Rental | $46.77 | $70.79 | $109.65 |
Health Alliance Plan Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $501.19 Typical High $758.58 | Professional | UE · Used equipment | $354.81 | $501.19 | $758.58 |
Priority Health Setting Facility Modifier RR · Rental Typical Low $67.61 Median $67.61 Typical High $83.18 | Facility | RR · Rental | $67.61 | $67.61 | $83.18 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $4,365.16 | Professional | None (both parts) | $72.44 | $72.44 | $4,365.16 |
Priority Health Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $79.43 | Professional | RR · Rental | $57.54 | $57.54 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $104.71 Typical High $141.25 | Professional | None (both parts) | $60.26 | $104.71 | $141.25 |
United Setting Professional Modifier RR · Rental Typical Low $46.77 Median $112.20 Typical High $158.49 | Professional | RR · Rental | $46.77 | $112.20 | $158.49 |
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 $138.04 Median $138.04 Typical High $144.54 | Professional | 26 · Professional part | $138.04 | $138.04 | $144.54 |
Where Michigan sits
The same service costs 22.4 times more in Alaska 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· 24th of 51
$525
AK $1,349OK $60.26
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.