How much rates vary
Facilitymedian $10,965 · 10th to 90th $5,129 to $33,113Professionalmedian $5,370 · 10th to 90th $724 to $7,413
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 $6,456.54 Median $6,456.54 Typical High $6,918.31 | Facility | None | $6,456.54 | $6,456.54 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $6,025.60 Median $6,606.93 Typical High $8,128.31 | Professional | None | $6,025.60 | $6,606.93 | $8,128.31 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4,897.79 Median $5,011.87 Typical High $6,165.95 | Professional | UE · Used equipment | $4,897.79 | $5,011.87 | $6,165.95 |
BCBS Michigan Setting Facility Modifier None Typical Low $8,912.51 Median $21,877.62 Typical High $41,686.94 | Facility | None | $8,912.51 | $21,877.62 | $41,686.94 |
BCBS Michigan Setting Professional Modifier None Typical Low $537.03 Median $7,079.46 Typical High $7,413.10 | Professional | None | $537.03 | $7,079.46 | $7,413.10 |
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | RR · Rental | $575.44 | $575.44 | $575.44 |
CareSource Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $512.86 | Facility | None | $467.74 | $467.74 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $5,128.61 | Professional | None | $4,365.16 | $5,128.61 | $5,128.61 |
Health Alliance Plan Setting Facility Modifier None Typical Low $5,370.32 Median $10,232.93 Typical High $11,220.18 | Facility | None | $5,370.32 | $10,232.93 | $11,220.18 |
Health Alliance Plan Setting Professional Modifier None Typical Low $724.44 Median $5,370.32 Typical High $7,244.36 | Professional | None | $724.44 | $5,370.32 | $7,244.36 |
Health Alliance Plan Setting Professional Modifier RR · Rental Typical Low $426.58 Median $660.69 Typical High $794.33 | Professional | RR · Rental | $426.58 | $660.69 | $794.33 |
Health Alliance Plan Setting Professional Modifier UE · Used equipment Typical Low $3,801.89 Median $4,365.16 Typical High $5,370.32 | Professional | UE · Used equipment | $3,801.89 | $4,365.16 | $5,370.32 |
Priority Health Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Priority Health Setting Professional Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $5,128.61 | Professional | None | $4,365.16 | $5,128.61 | $5,128.61 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,454.71 Typical High $4,677.35 | Professional | None | $1,737.80 | $2,454.71 | $4,677.35 |
United Setting Professional Modifier RR · Rental Typical Low $263.03 Median $363.08 Typical High $467.74 | Professional | RR · Rental | $263.03 | $363.08 | $467.74 |
2 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 KF · Class III device Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KF · Class III device | $134.90 | $134.90 | $134.90 |
Health Alliance Plan Setting Professional Modifier KF · Class III device Typical Low $134.90 Median $134.90 Typical High $537.03 | Professional | KF · Class III device | $134.90 | $134.90 | $537.03 |
Where Michigan sits
The same service costs 12.6 times more in Kansas than in Mississippi. 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· 8th of 51
$5,623
KS $9,772MS $776
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.