How much rates vary
Facilitymedian $1,047 · 10th to 90th $302 to $2,884Professionalmedian $148 · 10th to 90th $79 to $209
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 $89.13 Median $186.21 Typical High $4,897.79 | Facility | None | $89.13 | $186.21 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $138.04 Typical High $186.21 | Professional | None | $89.13 | $138.04 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $69.18 Typical High $93.33 | Professional | 52 · Reduced service | $44.67 | $69.18 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $27.54 Typical High $37.15 | Professional | 53 · Discontinued | $17.78 | $27.54 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $102.33 Typical High $141.25 | Professional | 54 · Surgery only | $66.07 | $102.33 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $20.42 Typical High $28.18 | Professional | 55 · Aftercare only | $13.18 | $20.42 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $13.80 Typical High $18.62 | Professional | 56 · Pre-op care only | $8.91 | $13.80 | $18.62 |
BCBS Michigan Setting Facility Modifier None Typical Low $776.25 Median $1,071.52 Typical High $2,398.83 | Facility | None | $776.25 | $1,071.52 | $2,398.83 |
BCBS Michigan Setting Professional Modifier None Typical Low $61.66 Median $107.15 Typical High $147.91 | Professional | None | $61.66 | $107.15 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $147.91 Typical High $295.12 | Professional | None | $74.13 | $147.91 | $295.12 |
Health Alliance Plan Setting Facility Modifier None Typical Low $169.82 Median $457.09 Typical High $4,897.79 | Facility | None | $169.82 | $457.09 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $91.20 Median $181.97 Typical High $208.93 | Professional | None | $91.20 | $181.97 | $208.93 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $64.57 Typical High $95.50 | Professional | 52 · Reduced service | $45.71 | $64.57 | $95.50 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $25.70 Typical High $38.02 | Professional | 53 · Discontinued | $18.20 | $25.70 | $38.02 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $97.72 Typical High $141.25 | Professional | 54 · Surgery only | $67.61 | $97.72 | $141.25 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $19.50 Typical High $28.84 | Professional | 55 · Aftercare only | $13.49 | $19.50 | $28.84 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $12.88 Typical High $19.05 | Professional | 56 · Pre-op care only | $9.12 | $12.88 | $19.05 |
Priority Health Setting Professional Modifier None Typical Low $72.44 Median $134.90 Typical High $275.42 | Professional | None | $72.44 | $134.90 | $275.42 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,288.25 Typical High $2,089.30 | Facility | None | $302.00 | $1,288.25 | $2,089.30 |
United Setting Professional Modifier None Typical Low $87.10 Median $158.49 Typical High $208.93 | Professional | None | $87.10 | $158.49 | $208.93 |
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 |
|---|---|---|---|---|---|
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 50 · Both sides | $158.49 | $158.49 | $158.49 |
Where Michigan sits
The same service costs 2.6 times more in Wisconsin than in Utah. 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· 39th of 51
$148
WI $309UT $120
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.