How much rates vary
Facilitymedian $1,905 · 10th to 90th $813 to $4,074Professionalmedian $550 · 10th to 90th $145 to $661
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 $524.81 Median $4,073.80 Typical High $5,754.40 | Facility | None | $524.81 | $4,073.80 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $549.54 Typical High $575.44 | Professional | None | $446.68 | $549.54 | $575.44 |
Ambetter Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $3,388.44 | Facility | None | $1,905.46 | $1,949.84 | $3,388.44 |
BCBS Michigan Setting Professional Modifier None Typical Low $102.33 Median $602.56 Typical High $912.01 | Professional | None | $102.33 | $602.56 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $489.78 Typical High $1,047.13 | Professional | None | $316.23 | $489.78 | $1,047.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $524.81 Median $1,318.26 Typical High $5,754.40 | Facility | None | $524.81 | $1,318.26 | $5,754.40 |
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 $316.23 Median $467.74 Typical High $741.31 | Professional | None | $316.23 | $467.74 | $741.31 |
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 $512.86 Typical High $575.44 | Professional | None | $436.52 | $512.86 | $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 $398.11 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $398.11 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $380.19 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $371.54 | $380.19 | $380.19 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 50 · Both sides | $977.24 | $977.24 | $977.24 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $398.11 | $407.38 | $407.38 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $380.19 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $371.54 | $380.19 | $380.19 |
Where Michigan sits
The same service costs 5.1 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 $6,741MT $1,322
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.