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 $2.29 Median $2.29 Typical High $2.40 | Facility | None | $2.29 | $2.29 | $2.40 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.40 | Professional | None | $2.29 | $2.29 | $2.40 |
BCBS Setting Facility Modifier None Typical Low $2.82 Median $4.68 Typical High $9.55 | Facility | None | $2.82 | $4.68 | $9.55 |
BCBS Setting Professional Modifier None Typical Low $2.57 Median $2.69 Typical High $2.69 | Professional | None | $2.57 | $2.69 | $2.69 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $14.13 | Professional | None | $2.75 | $2.75 | $14.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2.34 Median $15.14 Typical High $58.88 | Facility | None | $2.34 | $15.14 | $58.88 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2.57 Median $6.03 Typical High $8.51 | Professional | None | $2.57 | $6.03 | $8.51 |
Priority Health Setting Professional Modifier None Typical Low $2.75 Median $14.13 Typical High $14.13 | Professional | None | $2.75 | $14.13 | $14.13 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.63 | Professional | None | $2.40 | $2.40 | $2.63 |
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 |
|---|---|---|---|---|---|
Health Alliance Plan Setting Facility Modifier JZ · No drug discarded Typical Low $6.76 Median $34.67 Typical High $53.70 | Facility | JZ · No drug discarded | $6.76 | $34.67 | $53.70 |
Where Michigan sits
The same service costs 50.1 times more in North Carolina than in Kentucky. 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· 38th of 51
$2.69
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.