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 $53.70 Median $53.70 Typical High $57.54 | Facility | None | $53.70 | $53.70 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $54.95 Typical High $89.13 | Professional | None | $53.70 | $54.95 | $89.13 |
Aetna Setting Professional Modifier RR · Rental Typical Low $5.37 Median $5.37 Typical High $10.00 | Professional | RR · Rental | $5.37 | $5.37 | $10.00 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $40.74 Typical High $66.07 | Professional | UE · Used equipment | $39.81 | $40.74 | $66.07 |
BCBS Michigan Setting Facility Modifier None Typical Low $70.79 Median $173.78 Typical High $323.59 | Facility | None | $70.79 | $173.78 | $323.59 |
BCBS Michigan Setting Professional Modifier None Typical Low $4.47 Median $54.95 Typical High $57.54 | Professional | None | $4.47 | $54.95 | $57.54 |
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | RR · Rental | $4.47 | $4.47 | $4.47 |
CareSource Setting Facility Modifier None Typical Low $3.55 Median $30.20 Typical High $40.74 | Facility | None | $3.55 | $30.20 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | None | $36.31 | $36.31 | $42.66 |
Health Alliance Plan Setting Facility Modifier None Typical Low $44.67 Median $97.72 Typical High $131.83 | Facility | None | $44.67 | $97.72 | $131.83 |
Health Alliance Plan Setting Professional Modifier None Typical Low $5.75 Median $44.67 Typical High $63.10 | Professional | None | $5.75 | $44.67 | $63.10 |
Health Alliance Plan Setting Professional Modifier RR · Rental Typical Low $3.16 Median $4.79 Typical High $6.31 | Professional | RR · Rental | $3.16 | $4.79 | $6.31 |
Health Alliance Plan Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $38.02 Typical High $47.86 | Professional | UE · Used equipment | $33.88 | $38.02 | $47.86 |
Priority Health Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Priority Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | None | $36.31 | $36.31 | $42.66 |
United Setting Professional Modifier None Typical Low $20.42 Median $28.84 Typical High $38.90 | Professional | None | $20.42 | $28.84 | $38.90 |
United Setting Professional Modifier RR · Rental Typical Low $2.24 Median $2.88 Typical High $3.89 | Professional | RR · Rental | $2.24 | $2.88 | $3.89 |
United Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $21.88 Typical High $28.84 | Professional | UE · Used equipment | $16.60 | $21.88 | $28.84 |
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 MS · Maintenance fee Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | MS · Maintenance fee | $5.37 | $5.37 | $5.37 |
Health Alliance Plan Setting Professional Modifier MS · Maintenance fee Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | MS · Maintenance fee | $4.47 | $4.47 | $4.47 |
Where Michigan sits
The same service costs 2.6 times more in Kansas than in Illinois. 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· 13th of 51
$44.67
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.