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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $21.88 Typical High $41.69 | Professional | None | $15.14 | $21.88 | $41.69 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $16.22 Typical High $22.39 | Professional | None | $14.13 | $16.22 | $22.39 |
BCBS Michigan Setting Facility Modifier None Typical Low $14.13 Median $16.60 Typical High $19.05 | Facility | None | $14.13 | $16.60 | $19.05 |
BCBS Michigan Setting Professional Modifier None Typical Low $14.13 Median $15.14 Typical High $19.05 | Professional | None | $14.13 | $15.14 | $19.05 |
CareSource Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $15.14 | Professional | None | $14.79 | $14.79 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $26.30 | Professional | None | $13.80 | $13.80 | $26.30 |
Health Alliance Plan Setting Facility Modifier None Typical Low $39.81 Median $46.77 Typical High $169.82 | Facility | None | $39.81 | $46.77 | $169.82 |
Health Alliance Plan Setting Professional Modifier None Typical Low $13.49 Median $15.85 Typical High $20.42 | Professional | None | $13.49 | $15.85 | $20.42 |
Priority Health Setting Professional Modifier None Typical Low $13.80 Median $17.78 Typical High $26.30 | Professional | None | $13.80 | $17.78 | $26.30 |
United Setting Professional Modifier None Typical Low $16.98 Median $19.05 Typical High $23.99 | Professional | None | $16.98 | $19.05 | $23.99 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $20.89 Typical High $24.55 | Professional | 52 · Reduced service | $12.59 | $20.89 | $24.55 |
Ambetter Setting Professional Modifier 93 · Audio-only telehealth Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 93 · Audio-only telehealth | $14.79 | $14.79 | $14.79 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $14.13 Median $22.91 Typical High $25.70 | Professional | GC · Resident with teaching physician | $14.13 | $22.91 | $25.70 |
Where Michigan sits
The same service costs 5.1 times more in Alaska than in Maine. 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· 34th of 51
$15.85
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.