How much rates vary
Facilitymedian $71 · 10th to 90th $25 to $174Professionalmedian $31 · 10th to 90th $17 to $40
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 $30.90 Median $36.31 Typical High $38.90 | Facility | None | $30.90 | $36.31 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $37.15 | Professional | None | $30.90 | $36.31 | $37.15 |
Aetna Setting Professional Modifier RR · Rental Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | RR · Rental | $3.02 | $3.02 | $3.02 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $23.44 Typical High $27.54 | Professional | UE · Used equipment | $23.44 | $23.44 | $27.54 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
BCBS Michigan Setting Facility Modifier None Typical Low $47.86 Median $114.82 Typical High $208.93 | Facility | None | $47.86 | $114.82 | $208.93 |
BCBS Michigan Setting Professional Modifier None Typical Low $3.02 Median $38.02 Typical High $39.81 | Professional | None | $3.02 | $38.02 | $39.81 |
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | RR · Rental | $3.02 | $3.02 | $3.02 |
CareSource Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $26.92 | Facility | None | $25.12 | $25.12 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $33.11 | Professional | None | $21.38 | $21.38 | $33.11 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.14 Typical High $3.31 | Professional | RR · Rental | $2.14 | $2.14 | $3.31 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | UE · Used equipment | $16.22 | $16.22 | $16.22 |
Health Alliance Plan Setting Facility Modifier None Typical Low $30.20 Median $77.62 Typical High $83.18 | Facility | None | $30.20 | $77.62 | $83.18 |
Health Alliance Plan Setting Professional Modifier None Typical Low $28.84 Median $30.20 Typical High $43.65 | Professional | None | $28.84 | $30.20 | $43.65 |
Health Alliance Plan Setting Professional Modifier RR · Rental Typical Low $2.88 Median $3.31 Typical High $4.07 | Professional | RR · Rental | $2.88 | $3.31 | $4.07 |
Health Alliance Plan Setting Professional Modifier UE · Used equipment Typical Low $22.39 Median $28.84 Typical High $40.74 | Professional | UE · Used equipment | $22.39 | $28.84 | $40.74 |
Priority Health Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $26.92 | Facility | None | $25.12 | $25.12 | $26.92 |
Priority Health Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $33.11 | Professional | None | $21.38 | $25.12 | $33.11 |
Priority Health Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.14 Typical High $3.31 | Professional | RR · Rental | $2.14 | $2.14 | $3.31 |
Priority Health Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | UE · Used equipment | $16.22 | $16.22 | $16.22 |
United Setting Professional Modifier None Typical Low $14.13 Median $18.62 Typical High $23.99 | Professional | None | $14.13 | $18.62 | $23.99 |
United Setting Professional Modifier RR · Rental Typical Low $1.38 Median $1.74 Typical High $2.69 | Professional | RR · Rental | $1.38 | $1.74 | $2.69 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.23 Median $12.59 Typical High $23.99 | Professional | UE · Used equipment | $10.23 | $12.59 | $23.99 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | MS · Maintenance fee | $3.02 | $3.02 | $3.02 |
Where Michigan sits
The same service costs 2.6 times more in Hawaii 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· 20th of 51
$30.90
HI $42.66RI $16.22
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.