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 $199.53 Median $338.84 Typical High $338.84 | Facility | None | $199.53 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $338.84 | Professional | None | $199.53 | $199.53 | $338.84 |
BCBS Michigan Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $1,905.46 | Facility | None | $407.38 | $1,000.00 | $1,905.46 |
BCBS Michigan Setting Professional Modifier None Typical Low $323.59 Median $338.84 Typical High $338.84 | Professional | None | $323.59 | $338.84 | $338.84 |
CareSource Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $229.09 Typical High $380.19 | Professional | None | $165.96 | $229.09 | $380.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $194.98 Median $660.69 Typical High $724.44 | Facility | None | $194.98 | $660.69 | $724.44 |
Health Alliance Plan Setting Professional Modifier None Typical Low $194.98 Median $269.15 Typical High $346.74 | Professional | None | $194.98 | $269.15 | $346.74 |
Priority Health Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Priority Health Setting Professional Modifier None Typical Low $165.96 Median $229.09 Typical High $338.84 | Professional | None | $165.96 | $229.09 | $338.84 |
United Setting Facility Modifier None Typical Low $354.81 Median $416.87 Typical High $501.19 | Facility | None | $354.81 | $416.87 | $501.19 |
United Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $234.42 | Professional | None | $125.89 | $158.49 | $234.42 |
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 RR · Rental Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | RR · Rental | $338.84 | $338.84 | $338.84 |
Where Michigan sits
The same service costs 4.8 times more in Kansas than in New Jersey. 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· 15th of 51
$269
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.