How much rates vary
Facilitymedian $2,512 · 10th to 90th $631 to $5,012Professionalmedian $562 · 10th to 90th $417 to $955
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 $537.03 Median $588.84 Typical High $4,897.79 | Facility | None | $537.03 | $588.84 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $562.34 Typical High $588.84 | Professional | None | $426.58 | $562.34 | $588.84 |
Ambetter Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $4,365.16 | Facility | None | $2,511.89 | $2,511.89 | $4,365.16 |
BCBS Michigan Setting Professional Modifier None Typical Low $398.11 Median $676.08 Typical High $954.99 | Professional | None | $398.11 | $676.08 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $489.78 Typical High $1,071.52 | Professional | None | $323.59 | $489.78 | $1,071.52 |
Health Alliance Plan Setting Facility Modifier None Typical Low $575.44 Median $1,445.44 Typical High $7,943.28 | Facility | None | $575.44 | $1,445.44 | $7,943.28 |
Health Alliance Plan Setting Professional Modifier None Typical Low $436.52 Median $549.54 Typical High $616.60 | Professional | None | $436.52 | $549.54 | $616.60 |
Priority Health Setting Professional Modifier None Typical Low $323.59 Median $478.63 Typical High $794.33 | Professional | None | $323.59 | $478.63 | $794.33 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $5,011.87 | Facility | None | $602.56 | $1,230.27 | $5,011.87 |
United Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $575.44 | Professional | None | $436.52 | $524.81 | $575.44 |
5 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 $407.38 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $407.38 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $398.11 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $380.19 | $398.11 | $398.11 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 50 · Both sides | $1,023.29 | $1,023.29 | $1,023.29 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $416.87 Typical High $416.87 | Professional | 54 · Surgery only | $407.38 | $416.87 | $416.87 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $389.05 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $380.19 | $389.05 | $389.05 |
Where Michigan sits
The same service costs 4.9 times more in Colorado than in Montana. 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
CO $6,755MT $1,384
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.