How much rates vary
Facilitymedian $35 · 10th to 90th $14 to $81Professionalmedian $18 · 10th to 90th $2 to $26
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 $20.42 Median $20.42 Typical High $21.88 | Facility | None | $20.42 | $20.42 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.89 Typical High $34.67 | Professional | None | $20.42 | $20.89 | $34.67 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $15.49 Typical High $20.89 | Professional | UE · Used equipment | $15.49 | $15.49 | $20.89 |
BCBS Michigan Setting Facility Modifier None Typical Low $26.92 Median $64.57 Typical High $117.49 | Facility | None | $26.92 | $64.57 | $117.49 |
BCBS Michigan Setting Professional Modifier None Typical Low $20.89 Median $22.39 Typical High $22.39 | Professional | None | $20.89 | $22.39 | $22.39 |
BCBS Michigan Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | UE · Used equipment | $16.60 | $16.60 | $16.60 |
CareSource Setting Facility Modifier None Typical Low $1.45 Median $12.30 Typical High $17.38 | Facility | None | $1.45 | $12.30 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $17.38 | Professional | None | $14.45 | $14.45 | $17.38 |
Health Alliance Plan Setting Facility Modifier None Typical Low $4.90 Median $36.31 Typical High $52.48 | Facility | None | $4.90 | $36.31 | $52.48 |
Health Alliance Plan Setting Facility Modifier RR · Rental Typical Low $1.74 Median $3.72 Typical High $5.37 | Facility | RR · Rental | $1.74 | $3.72 | $5.37 |
Health Alliance Plan Setting Facility Modifier UE · Used equipment Typical Low $12.88 Median $28.18 Typical High $39.81 | Facility | UE · Used equipment | $12.88 | $28.18 | $39.81 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2.24 Median $18.20 Typical High $25.70 | Professional | None | $2.24 | $18.20 | $25.70 |
Health Alliance Plan Setting Professional Modifier RR · Rental Typical Low $1.70 Median $2.04 Typical High $2.51 | Professional | RR · Rental | $1.70 | $2.04 | $2.51 |
Health Alliance Plan Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $15.14 Typical High $19.05 | Professional | UE · Used equipment | $12.88 | $15.14 | $19.05 |
Priority Health Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Priority Health Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $17.38 | Professional | None | $14.45 | $14.45 | $17.38 |
United Setting Professional Modifier None Typical Low $8.71 Median $12.02 Typical High $17.38 | Professional | None | $8.71 | $12.02 | $17.38 |
United Setting Professional Modifier RR · Rental Typical Low $0.85 Median $1.20 Typical High $1.74 | Professional | RR · Rental | $0.85 | $1.20 | $1.74 |
United Setting Professional Modifier UE · Used equipment Typical Low $6.46 Median $8.91 Typical High $13.18 | Professional | UE · Used equipment | $6.46 | $8.91 | $13.18 |
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 MS · Maintenance fee Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | MS · Maintenance fee | $1.74 | $1.74 | $1.74 |
Where Michigan sits
The same service costs 2.2 times more in Hawaii than in Illinois. 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· 14th of 51
$18.20
HI $25.12IL $11.22
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.