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 $5.75 Median $16.22 Typical High $18.20 | Facility | None | $5.75 | $16.22 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $5.75 Typical High $12.02 | Professional | None | $5.62 | $5.75 | $12.02 |
BCBS Michigan Setting Facility Modifier None Typical Low $5.62 Median $6.92 Typical High $19.95 | Facility | None | $5.62 | $6.92 | $19.95 |
BCBS Michigan Setting Professional Modifier None Typical Low $5.37 Median $5.62 Typical High $6.31 | Professional | None | $5.37 | $5.62 | $6.31 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.62 | Professional | None | $5.01 | $5.01 | $5.62 |
Health Alliance Plan Setting Facility Modifier None Typical Low $6.03 Median $15.14 Typical High $18.20 | Facility | None | $6.03 | $15.14 | $18.20 |
Health Alliance Plan Setting Professional Modifier None Typical Low $5.62 Median $5.89 Typical High $7.59 | Professional | None | $5.62 | $5.89 | $7.59 |
Priority Health Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.62 | Professional | None | $5.01 | $5.01 | $5.62 |
United Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
United Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $7.59 | Professional | None | $5.62 | $5.62 | $7.59 |
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 $2.82 Median $2.88 Typical High $6.03 | Professional | 52 · Reduced service | $2.82 | $2.88 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.15 Typical High $2.40 | Professional | 53 · Discontinued | $1.12 | $1.15 | $2.40 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $5.13 Median $5.37 Typical High $5.62 | Professional | JW · Drug discarded | $5.13 | $5.37 | $5.62 |
Where Michigan sits
The same service costs 1.7 times more in Arizona 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· 44th of 51
$5.62
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.