How much rates vary
Facilitymedian $12,023 · 10th to 90th $5,012 to $26,915Professionalmedian $3,890 · 10th to 90th $389 to $5,370
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 $4,677.35 Median $4,677.35 Typical High $5,011.87 | Facility | None | $4,677.35 | $4,677.35 | $5,011.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,311.31 Median $4,786.30 Typical High $4,786.30 | Professional | None (both parts) | $3,311.31 | $4,786.30 | $4,786.30 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1,096.48 Median $1,288.25 Typical High $2,089.30 | Professional | RR · Rental | $1,096.48 | $1,288.25 | $2,089.30 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3,467.37 Median $3,548.13 Typical High $3,548.13 | Professional | UE · Used equipment | $3,467.37 | $3,548.13 | $3,548.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $6,456.54 Median $15,848.93 Typical High $29,512.09 | Facility | None | $6,456.54 | $15,848.93 | $29,512.09 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $389.05 Median $5,370.32 Typical High $5,370.32 | Professional | None (both parts) | $389.05 | $5,370.32 | $5,370.32 |
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | RR · Rental | $407.38 | $407.38 | $407.38 |
CareSource Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $3,630.78 Typical High $3,630.78 | Professional | None (both parts) | $2,398.83 | $3,630.78 | $3,630.78 |
Health Alliance Plan Setting Facility Modifier None Typical Low $3,890.45 Median $7,413.10 Typical High $7,943.28 | Facility | None | $3,890.45 | $7,413.10 | $7,943.28 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $3,801.89 Typical High $5,128.61 | Professional | None (both parts) | $2,691.53 | $3,801.89 | $5,128.61 |
Health Alliance Plan Setting Professional Modifier RR · Rental Typical Low $269.15 Median $354.81 Typical High $512.86 | Professional | RR · Rental | $269.15 | $354.81 | $512.86 |
Health Alliance Plan Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,884.03 Typical High $3,890.45 | Professional | UE · Used equipment | $2,041.74 | $2,884.03 | $3,890.45 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $3,630.78 Typical High $3,630.78 | Professional | None (both parts) | $2,398.83 | $3,630.78 | $3,630.78 |
Priority Health Setting Professional Modifier RR · Rental Typical Low $223.87 Median $363.08 Typical High $457.09 | Professional | RR · Rental | $223.87 | $363.08 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $239.88 Typical High $1,584.89 | Professional | None (both parts) | $190.55 | $239.88 | $1,584.89 |
United Setting Professional Modifier RR · Rental Typical Low $229.09 Median $239.88 Typical High $302.00 | Professional | RR · Rental | $229.09 | $239.88 | $302.00 |
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 $302.00 Median $302.00 Typical High $316.23 | Professional | 26 · Professional part | $302.00 | $302.00 | $316.23 |
Where Michigan sits
The same service costs 17.0 times more in North Dakota than in Oklahoma. 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· 11th of 51
$3,890
ND $5,623OK $331
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.