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 $0.05 Median $0.05 Typical High $0.16 | Facility | None | $0.05 | $0.05 | $0.16 |
Aetna Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.10 | Professional | None | $0.05 | $0.05 | $0.10 |
BCBS Michigan Setting Facility Modifier None Typical Low $0.05 Median $0.10 Typical High $0.20 | Facility | None | $0.05 | $0.10 | $0.20 |
Cigna Setting Professional Modifier None Typical Low $0.05 Median $0.44 Typical High $0.44 | Professional | None | $0.05 | $0.44 | $0.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.12 Median $0.33 Typical High $1.17 | Facility | None | $0.12 | $0.33 | $1.17 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.14 | Professional | None | $0.05 | $0.05 | $0.14 |
Priority Health Setting Professional Modifier None Typical Low $0.05 Median $0.44 Typical High $0.44 | Professional | None | $0.05 | $0.44 | $0.44 |
United Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.07 | Professional | None | $0.05 | $0.05 | $0.07 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.03 Median $0.03 Typical High $0.05 | Professional | 52 · Reduced service | $0.03 | $0.03 | $0.05 |
Health Alliance Plan Setting Facility Modifier JZ · No drug discarded Typical Low $0.14 Median $0.33 Typical High $1.05 | Facility | JZ · No drug discarded | $0.14 | $0.33 | $1.05 |
Where Michigan sits
The same service costs 12.9 times more in Oklahoma than in Delaware. 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· 4th of 51
$0.14
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.