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 $1,479.11 Median $1,479.11 Typical High $6,918.31 | Facility | None | $1,479.11 | $1,479.11 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,202.26 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $933.25 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $851.14 | $1,071.52 | $1,071.52 |
BCBS Michigan Setting Facility Modifier None Typical Low $4,365.16 Median $4,466.84 Typical High $7,762.47 | Facility | None | $4,365.16 | $4,466.84 | $7,762.47 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,737.80 Median $1,819.70 Typical High $2,754.23 | Professional | None | $1,737.80 | $1,819.70 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,513.56 Typical High $3,090.30 | Professional | None | $954.99 | $1,513.56 | $3,090.30 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,445.44 Median $3,630.78 Typical High $4,897.79 | Facility | None | $1,445.44 | $3,630.78 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $1,778.28 | Professional | None | $1,230.27 | $1,445.44 | $1,778.28 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $1,096.48 | $1,096.48 | $1,096.48 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,023.29 | $1,023.29 |
Priority Health Setting Professional Modifier None Typical Low $954.99 Median $1,513.56 Typical High $2,238.72 | Professional | None | $954.99 | $1,513.56 | $2,238.72 |
United Setting Facility Modifier None Typical Low $426.58 Median $549.54 Typical High $3,311.31 | Facility | None | $426.58 | $549.54 | $3,311.31 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $1,905.46 | Professional | None | $1,258.93 | $1,445.44 | $1,905.46 |
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 $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | 50 · Both sides | $2,951.21 | $2,951.21 | $2,951.21 |
Where Michigan sits
The same service costs 6.8 times more in Alaska than in Texas. 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· 23rd of 51
$1,514
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.