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 $724.44 Median $1,230.27 Typical High $1,230.27 | Facility | None | $724.44 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $724.44 Typical High $1,230.27 | Professional | None | $707.95 | $724.44 | $1,230.27 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,479.11 Median $3,630.78 Typical High $6,918.31 | Facility | None | $1,479.11 | $3,630.78 | $6,918.31 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,174.90 | $1,230.27 | $1,230.27 |
CareSource Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,380.38 | Professional | None | $549.54 | $758.58 | $1,380.38 |
Health Alliance Plan Setting Facility Modifier None Typical Low $707.95 Median $2,398.83 Typical High $2,630.27 | Facility | None | $707.95 | $2,398.83 | $2,630.27 |
Health Alliance Plan Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,258.93 | Professional | None | $707.95 | $933.25 | $1,258.93 |
Priority Health Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Priority Health Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,230.27 | Professional | None | $549.54 | $758.58 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $1,819.70 | Facility | None | $1,288.25 | $1,513.56 | $1,819.70 |
United Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $851.14 | Professional | None | $457.09 | $575.44 | $851.14 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | KX · Policy requirements met | $954.99 | $954.99 | $954.99 |
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | RR · Rental | $1,230.27 | $1,230.27 | $1,230.27 |
Where Michigan sits
The same service costs 2.2 times more in Iowa than in Delaware. 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
$977
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.