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 $1,288.25 Median $3,548.13 Typical High $3,981.07 | Facility | None | $1,288.25 | $3,548.13 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,698.24 | Professional | None | $1,288.25 | $1,288.25 | $1,698.24 |
Ambetter Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,348.96 Median $2,630.27 Typical High $5,011.87 | Facility | None | $1,348.96 | $2,630.27 | $5,011.87 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,230.27 | $1,288.25 | $1,288.25 |
CareSource Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,288.25 | Professional | None | $954.99 | $954.99 | $1,288.25 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,071.52 Median $2,137.96 Typical High $3,981.07 | Facility | None | $1,071.52 | $2,137.96 | $3,981.07 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $1,659.59 | Professional | None | $1,071.52 | $1,348.96 | $1,659.59 |
Priority Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,288.25 | Professional | None | $954.99 | $954.99 | $1,288.25 |
United Setting Professional Modifier None Typical Low $512.86 Median $1,288.25 Typical High $1,348.96 | Professional | None | $512.86 | $1,288.25 | $1,348.96 |
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 |
|---|---|---|---|---|---|
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $1,148.15 Median $1,230.27 Typical High $1,230.27 | Professional | JW · Drug discarded | $1,148.15 | $1,230.27 | $1,230.27 |
Where Michigan sits
Rates are fairly even across states for this service. 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· 32nd of 51
$1,288
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.