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 $1,659.59 Median $1,659.59 Typical High $1,778.28 | Facility | None | $1,659.59 | $1,659.59 | $1,778.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $1,174.90 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier RR · Rental Typical Low $354.81 Median $416.87 Typical High $676.08 | Professional | RR · Rental | $354.81 | $416.87 | $676.08 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,258.93 Median $1,288.25 Typical High $1,288.25 | Professional | UE · Used equipment | $1,258.93 | $1,288.25 | $1,288.25 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,290.87 Median $5,623.41 Typical High $10,715.19 | Facility | None | $2,290.87 | $5,623.41 | $10,715.19 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $147.91 Median $1,905.46 Typical High $1,905.46 | Professional | None (both parts) | $147.91 | $1,905.46 | $1,905.46 |
CareSource Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $1,659.59 | Facility | None | $123.03 | $123.03 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $1,288.25 | Professional | None (both parts) | $91.20 | $107.15 | $1,288.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $79.43 Median $107.15 Typical High $128.82 | Professional | RR · Rental | $79.43 | $107.15 | $128.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,380.38 Median $2,630.27 Typical High $2,884.03 | Facility | None | $1,380.38 | $2,630.27 | $2,884.03 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $190.55 Median $1,288.25 Typical High $1,862.09 | Professional | None (both parts) | $190.55 | $1,288.25 | $1,862.09 |
Health Alliance Plan Setting Professional Modifier RR · Rental Typical Low $97.72 Median $125.89 Typical High $186.21 | Professional | RR · Rental | $97.72 | $125.89 | $186.21 |
Health Alliance Plan Setting Professional Modifier UE · Used equipment Typical Low $724.44 Median $1,023.29 Typical High $1,380.38 | Professional | UE · Used equipment | $724.44 | $1,023.29 | $1,380.38 |
Priority Health Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $1,288.25 | Professional | None (both parts) | $107.15 | $107.15 | $1,288.25 |
Priority Health Setting Professional Modifier RR · Rental Typical Low $79.43 Median $128.82 Typical High $151.36 | Professional | RR · Rental | $79.43 | $128.82 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $91.20 Typical High $562.34 | Professional | None (both parts) | $81.28 | $91.20 | $562.34 |
United Setting Professional Modifier RR · Rental Typical Low $67.61 Median $85.11 Typical High $109.65 | Professional | RR · Rental | $67.61 | $85.11 | $109.65 |
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 $109.65 Median $109.65 Typical High $114.82 | Professional | 26 · Professional part | $109.65 | $109.65 | $114.82 |
Where Michigan sits
The same service costs 21.4 times more in North Dakota than in Florida. 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· 8th of 51
$1,380
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.