How much rates vary
Facilitymedian $2,291 · 10th to 90th $912 to $6,918Professionalmedian $813 · 10th to 90th $589 to $1,318
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 $812.83 Median $4,073.80 Typical High $5,754.40 | Facility | None | $812.83 | $4,073.80 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $851.14 | Professional | None | $645.65 | $851.14 | $851.14 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,290.87 Median $2,884.03 Typical High $7,079.46 | Facility | None | $2,290.87 | $2,884.03 | $7,079.46 |
BCBS Michigan Setting Professional Modifier None Typical Low $158.49 Median $933.25 Typical High $1,412.54 | Professional | None | $158.49 | $933.25 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $758.58 Typical High $1,445.44 | Professional | None | $489.78 | $758.58 | $1,445.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,621.81 Median $1,778.28 Typical High $4,897.79 | Facility | None | $1,621.81 | $1,778.28 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $912.01 | Professional | None | $645.65 | $812.83 | $912.01 |
Priority Health Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Priority Health Setting Professional Modifier None Typical Low $489.78 Median $741.31 Typical High $1,148.15 | Professional | None | $489.78 | $741.31 | $1,148.15 |
United Setting Facility Modifier None Typical Low $660.69 Median $1,621.81 Typical High $6,456.54 | Facility | None | $660.69 | $1,621.81 | $6,456.54 |
United Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $851.14 | Professional | None | $660.69 | $758.58 | $851.14 |
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 $407.38 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $407.38 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $165.96 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $645.65 Typical High $645.65 | Professional | 54 · Surgery only | $616.60 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $123.03 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $81.28 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $602.56 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $575.44 | $602.56 | $602.56 |
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | 50 · Both sides | $1,513.56 | $1,513.56 | $1,513.56 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $407.38 | $426.58 | $426.58 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $162.18 | $169.82 | $169.82 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $616.60 | $630.96 | $630.96 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $123.03 | $125.89 | $125.89 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $81.28 | $85.11 | $85.11 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $575.44 | $588.84 | $588.84 |
Where Michigan sits
The same service costs 7.4 times more in Alaska than in Texas. 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
$851
AK $2,630TX $355
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.