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 $186.21 Median $407.38 Typical High $4,897.79 | Facility | None | $186.21 | $407.38 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $323.59 Typical High $436.52 | Professional | None | $177.83 | $323.59 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $239.88 Typical High $316.23 | Professional | 54 · Surgery only | $141.25 | $239.88 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $47.86 Typical High $63.10 | Professional | 55 · Aftercare only | $28.18 | $47.86 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $31.62 Typical High $41.69 | Professional | 56 · Pre-op care only | $18.62 | $31.62 | $41.69 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,995.26 | Facility | None | $1,148.15 | $1,148.15 | $1,995.26 |
BCBS Michigan Setting Professional Modifier None Typical Low $34.67 Median $194.98 Typical High $512.86 | Professional | None | $34.67 | $194.98 | $512.86 |
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 $141.25 Median $239.88 Typical High $512.86 | Professional | None | $141.25 | $239.88 | $512.86 |
Health Alliance Plan Setting Facility Modifier None Typical Low $389.05 Median $1,230.27 Typical High $4,897.79 | Facility | None | $389.05 | $1,230.27 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $181.97 Median $416.87 Typical High $562.34 | Professional | None | $181.97 | $416.87 | $562.34 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $141.25 Typical High $302.00 | Professional | 54 · Surgery only | $134.90 | $141.25 | $302.00 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $28.18 Typical High $60.26 | Professional | 55 · Aftercare only | $26.92 | $28.18 | $60.26 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $18.62 Typical High $40.74 | Professional | 56 · Pre-op care only | $17.78 | $18.62 | $40.74 |
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 $104.71 Median $208.93 Typical High $426.58 | Professional | None | $104.71 | $208.93 | $426.58 |
United Setting Facility Modifier None Typical Low $89.13 Median $177.83 Typical High $1,258.93 | Facility | None | $89.13 | $177.83 | $1,258.93 |
United Setting Professional Modifier None Typical Low $186.21 Median $346.74 Typical High $602.56 | Professional | None | $186.21 | $346.74 | $602.56 |
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 $398.11 Median $1,023.29 Typical High $1,023.29 | Professional | 50 · Both sides | $398.11 | $1,023.29 | $1,023.29 |
Where Michigan sits
The same service costs 3.4 times more in Alaska 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· 25th of 51
$372
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.