How much rates vary
Facilitymedian $2,884 · 10th to 90th $933 to $5,754Professionalmedian $912 · 10th to 90th $676 to $1,549
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 $933.25 Median $4,073.80 Typical High $5,754.40 | Facility | None | $933.25 | $4,073.80 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $977.24 | Professional | None | $933.25 | $977.24 | $977.24 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,884.03 Median $2,951.21 Typical High $5,011.87 | Facility | None | $2,884.03 | $2,951.21 | $5,011.87 |
BCBS Michigan Setting Professional Modifier None Typical Low $181.97 Median $1,071.52 Typical High $1,621.81 | Professional | None | $181.97 | $1,071.52 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $851.14 Typical High $1,318.26 | Professional | None | $562.34 | $851.14 | $1,318.26 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,737.80 Median $2,691.53 Typical High $4,897.79 | Facility | None | $1,737.80 | $2,691.53 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,000.00 | Professional | None | $707.95 | $912.01 | $1,000.00 |
Priority Health Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Priority Health Setting Professional Modifier None Typical Low $562.34 Median $831.76 Typical High $1,202.26 | Professional | None | $562.34 | $831.76 | $1,202.26 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,238.72 Typical High $7,762.47 | Facility | None | $851.14 | $2,238.72 | $7,762.47 |
United Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $954.99 | Professional | None | $758.58 | $851.14 | $954.99 |
13 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 52 · Reduced service Typical Low $467.74 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $467.74 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $190.55 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $741.31 Typical High $741.31 | Professional | 54 · Surgery only | $707.95 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $141.25 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $93.33 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $691.83 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $660.69 | $691.83 | $691.83 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | 50 · Both sides | $1,737.80 | $1,737.80 | $1,737.80 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $467.74 | $489.78 | $489.78 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $186.21 | $194.98 | $194.98 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $724.44 Typical High $724.44 | Professional | 54 · Surgery only | $707.95 | $724.44 | $724.44 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $141.25 | $147.91 | $147.91 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $93.33 | $97.72 | $97.72 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $676.08 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $660.69 | $676.08 | $676.08 |
Where Michigan sits
The same service costs 7.8 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· 30th of 51
$933
AK $3,020TX $389
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.