How much rates vary
Facilitymedian $871 · 10th to 90th $59 to $2,042Professionalmedian $219 · 10th to 90th $26 to $427
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 $416.87 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $416.87 | $426.58 | $426.58 |
Aetna Setting Professional Modifier RR · Rental Typical Low $24.55 Median $204.17 Typical High $239.88 | Professional | RR · Rental | $24.55 | $204.17 | $239.88 |
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 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | RR · Rental | $41.69 | $41.69 | $41.69 |
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 |
CareSource Setting Professional Modifier None (both parts) Typical Low $46.77 Median $66.07 Typical High $77.62 | Professional | None (both parts) | $46.77 | $66.07 | $77.62 |
Cigna Setting Facility Modifier RR · Rental Typical Low $34.67 Median $34.67 Typical High $38.90 | Facility | RR · Rental | $34.67 | $34.67 | $38.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $812.83 | $812.83 | $812.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | RR · Rental | $29.51 | $29.51 | $34.67 |
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 $257.04 Typical High $354.81 | Professional | None (both parts) | $21.88 | $257.04 | $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 $234.42 Typical High $275.42 | Professional | UE · Used equipment | $165.96 | $234.42 | $275.42 |
Priority Health Setting Facility Modifier RR · Rental Typical Low $34.67 Median $34.67 Typical High $38.90 | Facility | RR · Rental | $34.67 | $34.67 | $38.90 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $812.83 | $812.83 | $812.83 |
Priority Health Setting Professional Modifier RR · Rental Typical Low $29.51 Median $32.36 Typical High $34.67 | Professional | RR · Rental | $29.51 | $32.36 | $34.67 |
United Setting Professional Modifier None (both parts) Typical Low $19.50 Median $30.90 Typical High $51.29 | Professional | None (both parts) | $19.50 | $30.90 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $22.91 Median $25.12 Typical High $41.69 | Professional | RR · Rental | $22.91 | $25.12 | $41.69 |
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 $41.69 Median $41.69 Typical High $43.65 | Professional | 26 · Professional part | $41.69 | $41.69 | $43.65 |
Where Michigan sits
The same service costs 36.3 times more in Vermont than in Hawaii. 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· 38th of 51
$219
VT $813HI $22.39
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.