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 $0.71 Median $2.09 Typical High $2.34 | Facility | None | $0.71 | $2.09 | $2.34 |
Aetna Setting Professional Modifier None Typical Low $0.71 Median $0.71 Typical High $0.71 | Professional | None | $0.71 | $0.71 | $0.71 |
BCBS Michigan Setting Facility Modifier None Typical Low $0.76 Median $1.48 Typical High $2.82 | Facility | None | $0.76 | $1.48 | $2.82 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.51 Median $0.54 Typical High $0.54 | Professional | None | $0.51 | $0.54 | $0.54 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $0.48 Median $0.51 Typical High $0.51 | Professional | JW · Drug discarded | $0.48 | $0.51 | $0.51 |
CareSource Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $1.15 | Professional | None | $0.85 | $0.85 | $1.15 |
Cigna Setting Professional Modifier None Typical Low $0.69 Median $0.69 Typical High $1.12 | Professional | None | $0.69 | $0.69 | $1.12 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.81 Median $0.81 Typical High $2.09 | Facility | None | $0.81 | $0.81 | $2.09 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.69 Median $0.76 Typical High $0.91 | Professional | None | $0.69 | $0.76 | $0.91 |
Priority Health Setting Professional Modifier None Typical Low $0.69 Median $1.12 Typical High $1.12 | Professional | None | $0.69 | $1.12 | $1.12 |
United Setting Professional Modifier None Typical Low $0.72 Median $0.81 Typical High $0.85 | Professional | None | $0.72 | $0.81 | $0.85 |
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 |
|---|---|---|---|---|---|
Health Alliance Plan Setting Professional Modifier EC · Anemia drug, other cause Typical Low $0.56 Median $5.01 Typical High $8.32 | Professional | EC · Anemia drug, other cause | $0.56 | $5.01 | $8.32 |
Health Alliance Plan Setting Professional Modifier JA · Given by IV Typical Low $1.95 Median $5.62 Typical High $7.59 | Professional | JA · Given by IV | $1.95 | $5.62 | $7.59 |
Health Alliance Plan Setting Professional Modifier JB · Given under the skin Typical Low $0.39 Median $4.07 Typical High $7.41 | Professional | JB · Given under the skin | $0.39 | $4.07 | $7.41 |
Where Michigan sits
The same service costs 2.5 times more in Wyoming than in Maine. 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· 32nd of 51
$0.71
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.