How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,230 to $9,333Professionalmedian $1,380 · 10th to 90th $1,096 to $3,162
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 $1,380.38 Median $1,412.54 Typical High $6,918.31 | Facility | None | $1,380.38 | $1,412.54 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,380.38 | $1,412.54 | $1,412.54 |
BCBS Michigan Setting Facility Modifier None Typical Low $3,890.45 Median $3,981.07 Typical High $6,918.31 | Facility | None | $3,890.45 | $3,981.07 | $6,918.31 |
BCBS Michigan Setting Professional Modifier None Typical Low $416.87 Median $2,089.30 Typical High $3,162.28 | Professional | None | $416.87 | $2,089.30 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,288.25 Typical High $2,630.27 | Professional | None | $831.76 | $1,288.25 | $2,630.27 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,754.23 Median $4,897.79 Typical High $10,232.93 | Facility | None | $2,754.23 | $4,897.79 | $10,232.93 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $1,621.81 | Professional | None | $1,096.48 | $1,412.54 | $1,621.81 |
Priority Health Setting Professional Modifier None Typical Low $831.76 Median $1,230.27 Typical High $1,737.80 | Professional | None | $831.76 | $1,230.27 | $1,737.80 |
United Setting Facility Modifier None Typical Low $891.25 Median $2,818.38 Typical High $10,715.19 | Facility | None | $891.25 | $2,818.38 | $10,715.19 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,288.25 Typical High $1,445.44 | Professional | None | $1,122.02 | $1,288.25 | $1,445.44 |
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 $691.83 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $691.83 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $275.42 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $1,023.29 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $204.17 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $138.04 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,000.00 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $954.99 | $1,000.00 | $1,000.00 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | 50 · Both sides | $3,388.44 | $3,388.44 | $3,388.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $691.83 | $707.95 | $707.95 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $275.42 | $288.40 | $288.40 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $1,023.29 | $1,071.52 | $1,071.52 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $204.17 | $213.80 | $213.80 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $138.04 | $141.25 | $141.25 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,000.00 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $954.99 | $1,000.00 | $1,000.00 |
Where Michigan sits
The same service costs 6.0 times more in Alaska 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
AK $15,585KY $2,601
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.