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 $0.24 Median $0.68 Typical High $0.76 | Facility | None | $0.24 | $0.68 | $0.76 |
Aetna Setting Professional Modifier None Typical Low $0.23 Median $0.24 Typical High $2.00 | Professional | None | $0.23 | $0.24 | $2.00 |
BCBS Michigan Setting Facility Modifier None Typical Low $0.24 Median $0.47 Typical High $0.91 | Facility | None | $0.24 | $0.47 | $0.91 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.10 Median $0.11 Typical High $0.11 | Professional | None | $0.10 | $0.11 | $0.11 |
Cigna Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.36 | Professional | None | $0.20 | $0.20 | $0.36 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.24 Median $0.62 Typical High $0.85 | Facility | None | $0.24 | $0.62 | $0.85 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.18 Median $0.23 Typical High $0.28 | Professional | None | $0.18 | $0.23 | $0.28 |
Priority Health Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.36 | Professional | None | $0.20 | $0.20 | $0.36 |
United Setting Professional Modifier None Typical Low $0.10 Median $0.24 Typical High $0.26 | Professional | None | $0.10 | $0.24 | $0.26 |
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 Facility Modifier JZ · No drug discarded Typical Low $0.47 Median $1.45 Typical High $2.04 | Facility | JZ · No drug discarded | $0.47 | $1.45 | $2.04 |
Where Michigan sits
The same service costs 1.9 times more in Oklahoma than in New Mexico. 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
$0.24
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.