How much rates vary
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 $44.67 Median $57.54 Typical High $89.13 | Facility | None | $44.67 | $57.54 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $48.98 Typical High $70.79 | Professional | None | $44.67 | $48.98 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $24.55 Typical High $35.48 | Professional | 52 · Reduced service | $21.88 | $24.55 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $10.00 Typical High $14.13 | Professional | 53 · Discontinued | $8.91 | $10.00 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $7.41 Typical High $10.72 | Professional | 55 · Aftercare only | $6.61 | $7.41 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.90 Typical High $7.08 | Professional | 56 · Pre-op care only | $4.47 | $4.90 | $7.08 |
BCBS Michigan Setting Facility Modifier None Typical Low $52.48 Median $67.61 Typical High $147.91 | Facility | None | $52.48 | $67.61 | $147.91 |
BCBS Michigan Setting Professional Modifier None Typical Low $8.13 Median $69.18 Typical High $72.44 | Professional | None | $8.13 | $69.18 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $52.48 Typical High $87.10 | Professional | None | $28.84 | $52.48 | $87.10 |
Health Alliance Plan Setting Facility Modifier None Typical Low $54.95 Median $89.13 Typical High $151.36 | Facility | None | $54.95 | $89.13 | $151.36 |
Health Alliance Plan Setting Professional Modifier None Typical Low $46.77 Median $66.07 Typical High $72.44 | Professional | None | $46.77 | $66.07 | $72.44 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $22.91 Typical High $34.67 | Professional | 52 · Reduced service | $22.39 | $22.91 | $34.67 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.33 Typical High $14.13 | Professional | 53 · Discontinued | $8.91 | $9.33 | $14.13 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $6.92 Typical High $10.47 | Professional | 55 · Aftercare only | $6.76 | $6.92 | $10.47 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.68 Typical High $7.08 | Professional | 56 · Pre-op care only | $4.47 | $4.68 | $7.08 |
Priority Health Setting Professional Modifier None Typical Low $28.18 Median $44.67 Typical High $85.11 | Professional | None | $28.18 | $44.67 | $85.11 |
United Setting Facility Modifier None Typical Low $89.13 Median $173.78 Typical High $1,202.26 | Facility | None | $89.13 | $173.78 | $1,202.26 |
United Setting Professional Modifier None Typical Low $37.15 Median $48.98 Typical High $64.57 | Professional | None | $37.15 | $48.98 | $64.57 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $77.62 Median $147.91 Typical High $147.91 | Professional | 50 · Both sides | $77.62 | $147.91 | $147.91 |
Where Michigan sits
The same service costs 3.7 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.
Michigan· 27th of 51
$56.23
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.