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 $61.66 Median $104.71 Typical High $104.71 | Facility | None | $61.66 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $104.71 | Professional | None | $61.66 | $61.66 | $104.71 |
BCBS Michigan Setting Facility Modifier None Typical Low $128.82 Median $316.23 Typical High $588.84 | Facility | None | $128.82 | $316.23 | $588.84 |
BCBS Michigan Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $104.71 | Professional | None | $100.00 | $104.71 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $60.26 Typical High $117.49 | Professional | None | $43.65 | $60.26 | $117.49 |
Health Alliance Plan Setting Facility Modifier None Typical Low $60.26 Median $199.53 Typical High $223.87 | Facility | None | $60.26 | $199.53 | $223.87 |
Health Alliance Plan Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $107.15 | Professional | None | $60.26 | $75.86 | $107.15 |
Priority Health Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Priority Health Setting Professional Modifier None Typical Low $43.65 Median $60.26 Typical High $107.15 | Professional | None | $43.65 | $60.26 | $107.15 |
United Setting Facility Modifier None Typical Low $109.65 Median $131.83 Typical High $154.88 | Facility | None | $109.65 | $131.83 | $154.88 |
United Setting Professional Modifier None Typical Low $37.15 Median $50.12 Typical High $63.10 | Professional | None | $37.15 | $50.12 | $63.10 |
3 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 |
|---|---|---|---|---|---|
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | RR · Rental | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.13 Median $6.03 Typical High $6.03 | Professional | RR · Rental | $5.13 | $6.03 | $6.03 |
Priority Health Setting Professional Modifier RR · Rental Typical Low $5.13 Median $6.03 Typical High $6.03 | Professional | RR · Rental | $5.13 | $6.03 | $6.03 |
Where Michigan sits
The same service costs 2.5 times more in Kansas than in Florida. 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· 17th of 51
$79.43
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.