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 $1,621.81 Median $1,621.81 Typical High $1,737.80 | Facility | None | $1,621.81 | $1,621.81 | $1,737.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $724.44 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier RR · Rental Typical Low $616.60 Median $724.44 Typical High $1,202.26 | Professional | RR · Rental | $616.60 | $724.44 | $1,202.26 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,230.27 Median $1,258.93 Typical High $1,258.93 | Professional | UE · Used equipment | $1,230.27 | $1,258.93 | $1,258.93 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,238.72 Median $5,495.41 Typical High $10,471.29 | Facility | None | $2,238.72 | $5,495.41 | $10,471.29 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,862.09 Typical High $1,862.09 | Professional | None (both parts) | $1,778.28 | $1,862.09 | $1,862.09 |
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | RR · Rental | $141.25 | $141.25 | $141.25 |
CareSource Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $1,318.26 | Facility | None | $97.72 | $97.72 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $120.23 | Professional | None (both parts) | $85.11 | $100.00 | $120.23 |
Cigna Setting Professional Modifier RR · Rental Typical Low $74.13 Median $100.00 Typical High $125.89 | Professional | RR · Rental | $74.13 | $100.00 | $125.89 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,348.96 Median $2,570.40 Typical High $2,754.23 | Facility | None | $1,348.96 | $2,570.40 | $2,754.23 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $213.80 Median $1,230.27 Typical High $1,819.70 | Professional | None (both parts) | $213.80 | $1,230.27 | $1,819.70 |
Health Alliance Plan Setting Professional Modifier RR · Rental Typical Low $95.50 Median $123.03 Typical High $181.97 | Professional | RR · Rental | $95.50 | $123.03 | $181.97 |
Health Alliance Plan Setting Professional Modifier UE · Used equipment Typical Low $707.95 Median $1,000.00 Typical High $1,348.96 | Professional | UE · Used equipment | $707.95 | $1,000.00 | $1,348.96 |
Priority Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $120.23 | Professional | None (both parts) | $85.11 | $100.00 | $120.23 |
Priority Health Setting Professional Modifier RR · Rental Typical Low $74.13 Median $100.00 Typical High $158.49 | Professional | RR · Rental | $74.13 | $100.00 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $83.18 Typical High $524.81 | Professional | None (both parts) | $63.10 | $83.18 | $524.81 |
United Setting Professional Modifier RR · Rental Typical Low $74.13 Median $85.11 Typical High $117.49 | Professional | RR · Rental | $74.13 | $85.11 | $117.49 |
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 $107.15 Median $107.15 Typical High $112.20 | Professional | 26 · Professional part | $107.15 | $107.15 | $112.20 |
Where Michigan sits
The same service costs 22.9 times more in North Dakota than in Delaware. 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· 7th of 51
$1,349
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.