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 $28.84 Median $30.20 Typical High $32.36 | Facility | None | $28.84 | $30.20 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $30.20 Typical High $32.36 | Professional | None | $28.84 | $30.20 | $32.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $15.14 Typical High $16.22 | Professional | 52 · Reduced service | $14.45 | $15.14 | $16.22 |
Ambetter Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
BCBS Michigan Setting Facility Modifier None Typical Low $26.92 Median $60.26 Typical High $117.49 | Facility | None | $26.92 | $60.26 | $117.49 |
BCBS Michigan Setting Professional Modifier None Typical Low $38.90 Median $40.74 Typical High $40.74 | Professional | None | $38.90 | $40.74 | $40.74 |
CareSource Setting Professional Modifier None Typical Low $30.90 Median $41.69 Typical High $42.66 | Professional | None | $30.90 | $41.69 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $35.48 Typical High $45.71 | Professional | None | $27.54 | $35.48 | $45.71 |
Health Alliance Plan Setting Facility Modifier None Typical Low $25.70 Median $32.36 Typical High $74.13 | Facility | None | $25.70 | $32.36 | $74.13 |
Health Alliance Plan Setting Professional Modifier None Typical Low $22.91 Median $25.12 Typical High $29.51 | Professional | None | $22.91 | $25.12 | $29.51 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $11.75 Typical High $12.88 | Professional | 52 · Reduced service | $11.48 | $11.75 | $12.88 |
Priority Health Setting Professional Modifier None Typical Low $27.54 Median $33.11 Typical High $40.74 | Professional | None | $27.54 | $33.11 | $40.74 |
United Setting Facility Modifier None Typical Low $104.71 Median $134.90 Typical High $281.84 | Facility | None | $104.71 | $134.90 | $281.84 |
United Setting Professional Modifier None Typical Low $23.99 Median $27.54 Typical High $33.11 | Professional | None | $23.99 | $27.54 | $33.11 |
3 more rates 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 |
|---|---|---|---|---|---|
BCBS Michigan Setting Professional Modifier TG · Complex care level Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | TG · Complex care level | $446.68 | $446.68 | $446.68 |
Health Alliance Plan Setting Professional Modifier 59 · Distinct service Typical Low $26.92 Median $28.18 Typical High $33.11 | Professional | 59 · Distinct service | $26.92 | $28.18 | $33.11 |
Health Alliance Plan Setting Professional Modifier XU · Unusual separate service Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | XU · Unusual separate service | $39.81 | $39.81 | $39.81 |
Where Michigan sits
The same service costs 2.7 times more in North Dakota than in Kentucky. 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· 17th of 51
$29.51
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.