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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $75.86 | Professional | None | $3.98 | $3.98 | $75.86 |
Ambetter Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $47.86 | Professional | None | $38.02 | $40.74 | $47.86 |
BCBS Michigan Setting Facility Modifier None Typical Low $77.62 Median $194.98 Typical High $389.05 | Facility | None | $77.62 | $194.98 | $389.05 |
BCBS Michigan Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $74.13 | Professional | None | $64.57 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | None | $0.52 | $0.52 | $0.52 |
Health Alliance Plan Setting Facility Modifier None Typical Low $125.89 Median $134.90 Typical High $147.91 | Facility | None | $125.89 | $134.90 | $147.91 |
Health Alliance Plan Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $64.57 | Professional | None | $50.12 | $50.12 | $64.57 |
Priority Health Setting Professional Modifier None Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | None | $0.52 | $0.52 | $0.52 |
2 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 RR · Rental Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | RR · Rental | $57.54 | $57.54 | $57.54 |
BCBS Michigan Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | UE · Used equipment | $57.54 | $57.54 | $57.54 |
Where Michigan sits
The same service costs 512.9 times more in Nebraska than in Vermont. 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· 7th of 50
$67.61
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.