How much rates vary
Facilitymedian $2,455 · 10th to 90th $575 to $4,169Professionalmedian $309 · 10th to 90th $129 to $741
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 $213.80 Median $707.95 Typical High $4,897.79 | Facility | None | $213.80 | $707.95 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $549.54 Typical High $724.44 | Professional | None | $213.80 | $549.54 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $251.19 Typical High $363.08 | Professional | 52 · Reduced service | $107.15 | $251.19 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $100.00 Typical High $144.54 | Professional | 53 · Discontinued | $42.66 | $100.00 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $371.54 Typical High $549.54 | Professional | 54 · Surgery only | $158.49 | $371.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $74.13 Typical High $109.65 | Professional | 55 · Aftercare only | $31.62 | $74.13 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $50.12 Typical High $72.44 | Professional | 56 · Pre-op care only | $21.38 | $50.12 | $72.44 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,290.87 Median $2,691.53 Typical High $3,630.78 | Facility | None | $2,290.87 | $2,691.53 | $3,630.78 |
BCBS Michigan Setting Professional Modifier None Typical Low $41.69 Median $208.93 Typical High $309.03 | Professional | None | $41.69 | $208.93 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $416.87 Typical High $954.99 | Professional | None | $154.88 | $416.87 | $954.99 |
Health Alliance Plan Setting Facility Modifier None Typical Low $575.44 Median $1,548.82 Typical High $4,897.79 | Facility | None | $575.44 | $1,548.82 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $213.80 Median $630.96 Typical High $741.31 | Professional | None | $213.80 | $630.96 | $741.31 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $204.17 Typical High $371.54 | Professional | 52 · Reduced service | $102.33 | $204.17 | $371.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $83.18 Typical High $151.36 | Professional | 53 · Discontinued | $40.74 | $83.18 | $151.36 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $309.03 Typical High $562.34 | Professional | 54 · Surgery only | $154.88 | $309.03 | $562.34 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $61.66 Typical High $112.20 | Professional | 55 · Aftercare only | $30.90 | $61.66 | $112.20 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $41.69 Typical High $74.13 | Professional | 56 · Pre-op care only | $20.42 | $41.69 | $74.13 |
Priority Health Setting Professional Modifier None Typical Low $151.36 Median $416.87 Typical High $794.33 | Professional | None | $151.36 | $416.87 | $794.33 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,288.25 Typical High $2,089.30 | Facility | None | $302.00 | $1,288.25 | $2,089.30 |
United Setting Professional Modifier None Typical Low $190.55 Median $457.09 Typical High $812.83 | Professional | None | $190.55 | $457.09 | $812.83 |
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 $331.13 Median $331.13 Typical High $331.13 | Professional | 50 · Both sides | $331.13 | $331.13 | $331.13 |
Where Michigan sits
The same service costs 3.5 times more in Wisconsin than in Nebraska. 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· 48th of 51
$309
WI $912NE $257
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.