How much rates vary
Facilitymedian $12,303 · 10th to 90th $1,000 to $19,498Professionalmedian $1,445 · 10th to 90th $1,047 to $2,455
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 $4,073.80 Typical High $5,754.40 | Facility | None | $1,479.11 | $4,073.80 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $1,513.56 | Professional | None | $912.01 | $1,122.02 | $1,513.56 |
BCBS Michigan Setting Facility Modifier None Typical Low $12,302.69 Median $12,589.25 Typical High $21,877.62 | Facility | None | $12,302.69 | $12,589.25 | $21,877.62 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,737.80 Median $2,344.23 Typical High $2,454.71 | Professional | None | $1,737.80 | $2,344.23 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,412.54 Typical High $2,754.23 | Professional | None | $891.25 | $1,412.54 | $2,754.23 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,819.70 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,819.70 | $2,884.03 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $912.01 Median $1,288.25 Typical High $1,548.82 | Professional | None | $912.01 | $1,288.25 | $1,548.82 |
Priority Health Setting Professional Modifier None Typical Low $891.25 Median $1,202.26 Typical High $1,995.26 | Professional | None | $891.25 | $1,202.26 | $1,995.26 |
United Setting Facility Modifier None Typical Low $660.69 Median $1,548.82 Typical High $7,943.28 | Facility | None | $660.69 | $1,548.82 | $7,943.28 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $1,548.82 | Professional | None | $1,230.27 | $1,348.96 | $1,548.82 |
4 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $1,122.02 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,071.52 | $1,071.52 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,174.90 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,122.02 | $1,174.90 | $1,174.90 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,096.48 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,096.48 | $1,096.48 |
Where Michigan sits
The same service costs 8.5 times more in Wyoming 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.
Physician feeFacility fee
WY $22,644KY $2,656
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.