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 $35.48 Median $36.31 Typical High $56.23 | Facility | None | $35.48 | $36.31 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $39.81 Typical High $54.95 | Professional | None | $35.48 | $39.81 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $19.95 Typical High $27.54 | Professional | 52 · Reduced service | $17.38 | $19.95 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.94 Typical High $10.96 | Professional | 53 · Discontinued | $7.08 | $7.94 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $6.03 Typical High $8.32 | Professional | 55 · Aftercare only | $5.25 | $6.03 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $4.17 Typical High $5.50 | Professional | 56 · Pre-op care only | $3.55 | $4.17 | $5.50 |
BCBS Michigan Setting Facility Modifier None Typical Low $30.90 Median $39.81 Typical High $89.13 | Facility | None | $30.90 | $39.81 | $89.13 |
BCBS Michigan Setting Professional Modifier None Typical Low $6.76 Median $60.26 Typical High $72.44 | Professional | None | $6.76 | $60.26 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $41.69 Typical High $66.07 | Professional | None | $25.12 | $41.69 | $66.07 |
Health Alliance Plan Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $165.96 | Facility | None | $47.86 | $47.86 | $165.96 |
Health Alliance Plan Setting Professional Modifier None Typical Low $37.15 Median $56.23 Typical High $75.86 | Professional | None | $37.15 | $56.23 | $75.86 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $19.05 Typical High $27.54 | Professional | 52 · Reduced service | $17.78 | $19.05 | $27.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.59 Typical High $11.22 | Professional | 53 · Discontinued | $7.08 | $7.59 | $11.22 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.62 Typical High $8.32 | Professional | 55 · Aftercare only | $5.37 | $5.62 | $8.32 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.80 Typical High $5.62 | Professional | 56 · Pre-op care only | $3.55 | $3.80 | $5.62 |
Priority Health Setting Professional Modifier None Typical Low $21.38 Median $36.31 Typical High $60.26 | Professional | None | $21.38 | $36.31 | $60.26 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,202.26 | Facility | None | $91.20 | $177.83 | $1,202.26 |
United Setting Professional Modifier None Typical Low $33.88 Median $44.67 Typical High $61.66 | Professional | None | $33.88 | $44.67 | $61.66 |
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 $109.65 Median $109.65 Typical High $109.65 | Professional | 50 · Both sides | $109.65 | $109.65 | $109.65 |
Where Michigan sits
The same service costs 3.3 times more in Alaska than in Virginia. 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· 17th of 51
$54.95
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.