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 $416.87 Median $416.87 Typical High $446.68 | Facility | None | $416.87 | $416.87 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $380.19 | $426.58 | $426.58 |
Aetna Setting Professional Modifier RR · Rental Typical Low $154.88 Median $190.55 Typical High $223.87 | Professional | RR · Rental | $154.88 | $190.55 | $223.87 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $316.23 Typical High $316.23 | Professional | UE · Used equipment | $309.03 | $316.23 | $316.23 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | RR · Rental | $38.90 | $38.90 | $38.90 |
BCBS Michigan Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $2,511.89 | Facility | None | $549.54 | $1,318.26 | $2,511.89 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $42.66 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $42.66 | $44.67 | $44.67 |
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | RR · Rental | $44.67 | $44.67 | $44.67 |
CareSource Setting Facility Modifier None Typical Low $30.20 Median $31.62 Typical High $47.86 | Facility | None | $30.20 | $31.62 | $47.86 |
CareSource Setting Professional Modifier None (both parts) Typical Low $46.77 Median $66.07 Typical High $77.62 | Professional | None (both parts) | $46.77 | $66.07 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $316.23 | Facility | None | $31.62 | $31.62 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $316.23 | Professional | None (both parts) | $269.15 | $269.15 | $316.23 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $51.29 | Professional | RR · Rental | $26.92 | $26.92 | $51.29 |
Health Alliance Plan Setting Facility Modifier None Typical Low $57.54 Median $234.42 Typical High $645.65 | Facility | None | $57.54 | $234.42 | $645.65 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $21.88 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $21.88 | $251.19 | $354.81 |
Health Alliance Plan Setting Professional Modifier RR · Rental Typical Low $21.88 Median $35.48 Typical High $54.95 | Professional | RR · Rental | $21.88 | $35.48 | $54.95 |
Health Alliance Plan Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $229.09 Typical High $269.15 | Professional | UE · Used equipment | $165.96 | $229.09 | $269.15 |
Priority Health Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $316.23 | Facility | None | $31.62 | $31.62 | $316.23 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $316.23 | Professional | None (both parts) | $269.15 | $269.15 | $316.23 |
Priority Health Setting Professional Modifier RR · Rental Typical Low $26.92 Median $31.62 Typical High $51.29 | Professional | RR · Rental | $26.92 | $31.62 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $19.50 Median $25.12 Typical High $33.11 | Professional | None (both parts) | $19.50 | $25.12 | $33.11 |
United Setting Professional Modifier RR · Rental Typical Low $22.91 Median $41.69 Typical High $41.69 | Professional | RR · Rental | $22.91 | $41.69 | $41.69 |
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 Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $43.65 | Professional | 26 · Professional part | $41.69 | $41.69 | $43.65 |
Where Michigan sits
The same service costs 30.2 times more in Wyoming than in Hawaii. 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· 44th of 51
$60.26
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.