How much rates vary
Facilitymedian $12,589 · 10th to 90th $525 to $33,113Professionalmedian $4,677 · 10th to 90th $3,090 to $5,754
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 $4,677.35 Median $4,786.30 Typical High $6,918.31 | Facility | None | $4,677.35 | $4,786.30 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $3,801.89 Median $4,786.30 Typical High $5,011.87 | Professional | None | $3,801.89 | $4,786.30 | $5,011.87 |
BCBS Michigan Setting Facility Modifier None Typical Low $12,589.25 Median $16,218.10 Typical High $39,810.72 | Facility | None | $12,589.25 | $16,218.10 | $39,810.72 |
BCBS Michigan Setting Professional Modifier None Typical Low $831.76 Median $4,677.35 Typical High $4,897.79 | Professional | None | $831.76 | $4,677.35 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $4,570.88 Typical High $5,495.41 | Professional | None | $2,630.27 | $4,570.88 | $5,495.41 |
Health Alliance Plan Setting Facility Modifier None Typical Low $4,466.84 Median $9,772.37 Typical High $10,964.78 | Facility | None | $4,466.84 | $9,772.37 | $10,964.78 |
Health Alliance Plan Setting Professional Modifier None Typical Low $3,715.35 Median $4,466.84 Typical High $5,248.07 | Professional | None | $3,715.35 | $4,466.84 | $5,248.07 |
Priority Health Setting Professional Modifier None Typical Low $2,454.71 Median $3,388.44 Typical High $5,495.41 | Professional | None | $2,454.71 | $3,388.44 | $5,495.41 |
United Setting Facility Modifier None Typical Low $426.58 Median $549.54 Typical High $3,311.31 | Facility | None | $426.58 | $549.54 | $3,311.31 |
United Setting Professional Modifier None Typical Low $4,168.69 Median $5,248.07 Typical High $6,606.93 | Professional | None | $4,168.69 | $5,248.07 | $6,606.93 |
10 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 $1,905.46 Median $2,398.83 Typical High $2,511.89 | Professional | 52 · Reduced service | $1,905.46 | $2,398.83 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $954.99 Typical High $1,000.00 | Professional | 53 · Discontinued | $758.58 | $954.99 | $1,000.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,818.38 Median $3,630.78 Typical High $3,715.35 | Professional | 54 · Surgery only | $2,818.38 | $3,630.78 | $3,715.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $562.34 Median $724.44 Typical High $741.31 | Professional | 55 · Aftercare only | $562.34 | $724.44 | $741.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $380.19 Median $478.63 Typical High $501.19 | Professional | 56 · Pre-op care only | $380.19 | $478.63 | $501.19 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $2,238.72 Median $2,344.23 Typical High $2,344.23 | Professional | 52 · Reduced service | $2,238.72 | $2,344.23 | $2,344.23 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $912.01 Median $933.25 Typical High $933.25 | Professional | 53 · Discontinued | $912.01 | $933.25 | $933.25 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $3,388.44 Median $3,548.13 Typical High $3,548.13 | Professional | 54 · Surgery only | $3,388.44 | $3,548.13 | $3,548.13 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $676.08 Median $707.95 Typical High $707.95 | Professional | 55 · Aftercare only | $676.08 | $707.95 | $707.95 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $446.68 Median $467.74 Typical High $467.74 | Professional | 56 · Pre-op care only | $446.68 | $467.74 | $467.74 |
Where Michigan sits
The same service costs 7.4 times more in Alaska than in Arkansas. 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· 18th of 51
$4,786
AK $13,490AR $1,820
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.