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 $2.88 Median $2.88 Typical High $8.32 | Facility | None | $2.88 | $2.88 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $2.88 Typical High $3.63 | Professional | None | $2.82 | $2.88 | $3.63 |
BCBS Michigan Setting Facility Modifier None Typical Low $2.95 Median $5.75 Typical High $10.96 | Facility | None | $2.95 | $5.75 | $10.96 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.50 Median $0.52 Typical High $0.58 | Professional | None | $0.50 | $0.52 | $0.58 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $3.55 Median $9.33 Typical High $25.12 | Facility | None | $3.55 | $9.33 | $25.12 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2.82 Median $3.02 Typical High $6.31 | Professional | None | $2.82 | $3.02 | $6.31 |
Priority Health Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
United Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $3.89 | Professional | None | $2.88 | $2.88 | $3.89 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $2.82 Median $2.82 Typical High $2.88 | Professional | JZ · No drug discarded | $2.82 | $2.82 | $2.88 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $0.47 Median $0.50 Typical High $0.52 | Professional | JW · Drug discarded | $0.47 | $0.50 | $0.52 |
Health Alliance Plan Setting Professional Modifier JZ · No drug discarded Typical Low $2.69 Median $3.89 Typical High $7.24 | Professional | JZ · No drug discarded | $2.69 | $3.89 | $7.24 |
Where Michigan sits
The same service costs 2.2 times more in Wyoming than in Georgia. 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· 12th of 51
$3.31
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.