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 $41.69 Median $52.48 Typical High $128.82 | Facility | None | $41.69 | $52.48 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $41.69 Typical High $43.65 | Professional | None | $40.74 | $41.69 | $43.65 |
BCBS Michigan Setting Facility Modifier None Typical Low $43.65 Median $81.28 Typical High $169.82 | Facility | None | $43.65 | $81.28 | $169.82 |
BCBS Michigan Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $41.69 | Professional | None | $39.81 | $41.69 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $40.74 Typical High $42.66 | Professional | None | $33.11 | $40.74 | $42.66 |
Health Alliance Plan Setting Facility Modifier None Typical Low $54.95 Median $104.71 Typical High $138.04 | Facility | None | $54.95 | $104.71 | $138.04 |
Health Alliance Plan Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $56.23 | Professional | None | $40.74 | $40.74 | $56.23 |
Priority Health Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $40.74 | Professional | None | $33.11 | $33.11 | $40.74 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $43.65 | Professional | None | $39.81 | $39.81 | $43.65 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | JZ · No drug discarded | $39.81 | $39.81 | $39.81 |
Where Michigan sits
Rates are fairly even across states for this service. 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· 11th of 51
$41.69
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.