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 $3.02 Median $8.71 Typical High $9.77 | Facility | None | $3.02 | $8.71 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
BCBS Michigan Setting Facility Modifier None Typical Low $2.95 Median $5.50 Typical High $10.72 | Facility | None | $2.95 | $5.50 | $10.72 |
BCBS Michigan Setting Professional Modifier None Typical Low $2.82 Median $2.95 Typical High $2.95 | Professional | None | $2.82 | $2.95 | $2.95 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $2.63 Median $2.82 Typical High $2.82 | Professional | JW · Drug discarded | $2.63 | $2.82 | $2.82 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.98 | Professional | None | $2.95 | $2.95 | $3.98 |
Health Alliance Plan Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $9.33 | Facility | None | $3.47 | $3.47 | $9.33 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2.95 Median $3.16 Typical High $3.89 | Professional | None | $2.95 | $3.16 | $3.89 |
Priority Health Setting Professional Modifier None Typical Low $2.95 Median $3.98 Typical High $3.98 | Professional | None | $2.95 | $3.98 | $3.98 |
United Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Facility | None | $2.95 | $2.95 | $2.95 |
United Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.16 | Professional | None | $3.09 | $3.09 | $3.16 |
1 more rate 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 |
|---|---|---|---|---|---|
Health Alliance Plan Setting Professional Modifier EC · Anemia drug, other cause Typical Low $6.31 Median $6.31 Typical High $28.18 | Professional | EC · Anemia drug, other cause | $6.31 | $6.31 | $28.18 |
Where Michigan sits
The same service costs 2.7 times more in Wyoming than in New York. 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· 18th of 51
$3.09
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.