How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $158.49 Median $158.49 Typical High $162.18 | Facility | None | $158.49 | $158.49 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $162.18 Typical High $169.82 | Professional | None | $158.49 | $162.18 | $169.82 |
BCBS Michigan Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
BCBS Michigan Setting Professional Modifier None Typical Low $257.04 Median $269.15 Typical High $269.15 | Professional | None | $257.04 | $269.15 | $269.15 |
CareSource Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $239.88 | Professional | None | $151.36 | $204.17 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $199.53 | Professional | None | $141.25 | $141.25 | $199.53 |
Health Alliance Plan Setting Facility Modifier None Typical Low $162.18 Median $436.52 Typical High $478.63 | Facility | None | $162.18 | $436.52 | $478.63 |
Health Alliance Plan Setting Professional Modifier None Typical Low $162.18 Median $165.96 Typical High $229.09 | Professional | None | $162.18 | $165.96 | $229.09 |
Priority Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $186.21 | Professional | None | $141.25 | $141.25 | $186.21 |
United Setting Facility Modifier None Typical Low $138.04 Median $173.78 Typical High $190.55 | Facility | None | $138.04 | $173.78 | $190.55 |
United Setting Professional Modifier None Typical Low $173.78 Median $186.21 Typical High $199.53 | Professional | None | $173.78 | $186.21 | $199.53 |
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 25 · Same-day visit Typical Low $114.82 Median $165.96 Typical High $181.97 | Professional | 25 · Same-day visit | $114.82 | $165.96 | $181.97 |
Where Michigan sits
The same service costs 2.6 times more in North Dakota than in New York. 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· 22nd of 51
$186
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.