How much rates vary
Facilitymedian $776 · 10th to 90th $407 to $2,630Professionalmedian $145 · 10th to 90th $81 to $219
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 $83.18 Median $169.82 Typical High $4,897.79 | Facility | None | $83.18 | $169.82 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $125.89 Typical High $173.78 | Professional | None | $83.18 | $125.89 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $61.66 Typical High $87.10 | Professional | 52 · Reduced service | $41.69 | $61.66 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $25.12 Typical High $34.67 | Professional | 53 · Discontinued | $16.60 | $25.12 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $93.33 Typical High $128.82 | Professional | 54 · Surgery only | $63.10 | $93.33 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $18.62 Typical High $25.70 | Professional | 55 · Aftercare only | $12.59 | $18.62 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $12.30 Typical High $17.38 | Professional | 56 · Pre-op care only | $8.32 | $12.30 | $17.38 |
BCBS Michigan Setting Facility Modifier None Typical Low $691.83 Median $891.25 Typical High $2,187.76 | Facility | None | $691.83 | $891.25 | $2,187.76 |
BCBS Michigan Setting Professional Modifier None Typical Low $19.05 Median $134.90 Typical High $269.15 | Professional | None | $19.05 | $134.90 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $123.03 Typical High $251.19 | Professional | None | $70.79 | $123.03 | $251.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $173.78 Median $371.54 Typical High $4,897.79 | Facility | None | $173.78 | $371.54 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $83.18 Median $173.78 Typical High $208.93 | Professional | None | $83.18 | $173.78 | $208.93 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $46.77 Typical High $87.10 | Professional | 52 · Reduced service | $41.69 | $46.77 | $87.10 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.62 Typical High $34.67 | Professional | 53 · Discontinued | $16.60 | $18.62 | $34.67 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $70.79 Typical High $131.83 | Professional | 54 · Surgery only | $61.66 | $70.79 | $131.83 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $14.13 Typical High $26.30 | Professional | 55 · Aftercare only | $12.30 | $14.13 | $26.30 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $9.33 Typical High $17.38 | Professional | 56 · Pre-op care only | $8.32 | $9.33 | $17.38 |
Priority Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Priority Health Setting Professional Modifier None Typical Low $72.44 Median $112.20 Typical High $213.80 | Professional | None | $72.44 | $112.20 | $213.80 |
United Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $3,162.28 | Facility | None | $426.58 | $602.56 | $3,162.28 |
United Setting Professional Modifier None Typical Low $81.28 Median $141.25 Typical High $194.98 | Professional | None | $81.28 | $141.25 | $194.98 |
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 $154.88 Median $407.38 Typical High $407.38 | Professional | 50 · Both sides | $154.88 | $407.38 | $407.38 |
Where Michigan sits
The same service costs 4.9 times more in Alaska than in Hawaii. 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
$155
AK $437HI $89.13
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.