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 $1,698.24 Median $1,698.24 Typical High $1,819.70 | Facility | None | $1,698.24 | $1,698.24 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,737.80 Typical High $1,737.80 | Professional | None (both parts) | $1,202.26 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier RR · Rental Typical Low $812.83 Median $954.99 Typical High $1,548.82 | Professional | RR · Rental | $812.83 | $954.99 | $1,548.82 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,318.26 Typical High $1,318.26 | Professional | UE · Used equipment | $1,288.25 | $1,318.26 | $1,318.26 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,344.23 Median $5,754.40 Typical High $10,964.78 | Facility | None | $2,344.23 | $5,754.40 | $10,964.78 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $151.36 Median $1,479.11 Typical High $1,949.84 | Professional | None (both parts) | $151.36 | $1,479.11 | $1,949.84 |
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | RR · Rental | $151.36 | $151.36 | $151.36 |
CareSource Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $1,698.24 | Facility | None | $125.89 | $125.89 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $1,318.26 | Professional | None (both parts) | $93.33 | $109.65 | $1,318.26 |
Cigna Setting Professional Modifier RR · Rental Typical Low $81.28 Median $109.65 Typical High $131.83 | Professional | RR · Rental | $81.28 | $109.65 | $131.83 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,412.54 Median $2,691.53 Typical High $2,951.21 | Facility | None | $1,412.54 | $2,691.53 | $2,951.21 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,412.54 Typical High $1,905.46 | Professional | None (both parts) | $1,000.00 | $1,412.54 | $1,905.46 |
Health Alliance Plan Setting Professional Modifier RR · Rental Typical Low $100.00 Median $128.82 Typical High $190.55 | Professional | RR · Rental | $100.00 | $128.82 | $190.55 |
Health Alliance Plan Setting Professional Modifier UE · Used equipment Typical Low $741.31 Median $1,047.13 Typical High $1,412.54 | Professional | UE · Used equipment | $741.31 | $1,047.13 | $1,412.54 |
Priority Health Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $1,318.26 | Professional | None (both parts) | $109.65 | $109.65 | $1,318.26 |
Priority Health Setting Professional Modifier RR · Rental Typical Low $81.28 Median $131.83 Typical High $154.88 | Professional | RR · Rental | $81.28 | $131.83 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $93.33 Typical High $169.82 | Professional | None (both parts) | $83.18 | $93.33 | $169.82 |
United Setting Professional Modifier RR · Rental Typical Low $69.18 Median $87.10 Typical High $112.20 | Professional | RR · Rental | $69.18 | $87.10 | $112.20 |
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 $112.20 Median $112.20 Typical High $117.49 | Professional | 26 · Professional part | $112.20 | $112.20 | $117.49 |
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
$1,413
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.