How much rates vary
Facilitymedian $9,333 · 10th to 90th $1,380 to $15,136Professionalmedian $1,514 · 10th to 90th $513 to $2,570
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 $1,445.44 Median $1,513.56 Typical High $4,897.79 | Facility | None | $1,445.44 | $1,513.56 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $1,548.82 | Professional | None | $1,258.93 | $1,479.11 | $1,548.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,023.29 | $1,023.29 |
Ambetter Setting Professional Modifier None Typical Low $501.19 Median $1,000.00 Typical High $1,122.02 | Professional | None | $501.19 | $1,000.00 | $1,122.02 |
BCBS Michigan Setting Facility Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $16,218.10 | Facility | None | $9,332.54 | $9,332.54 | $16,218.10 |
BCBS Michigan Setting Professional Modifier None Typical Low $436.52 Median $2,290.87 Typical High $2,570.40 | Professional | None | $436.52 | $2,290.87 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,445.44 Typical High $2,511.89 | Professional | None | $954.99 | $1,445.44 | $2,511.89 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,513.56 Median $7,762.47 Typical High $15,488.17 | Facility | None | $1,513.56 | $7,762.47 | $15,488.17 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,348.96 Median $1,479.11 Typical High $1,819.70 | Professional | None | $1,348.96 | $1,479.11 | $1,819.70 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,071.52 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,000.00 |
Priority Health Setting Professional Modifier None Typical Low $912.01 Median $1,380.38 Typical High $2,511.89 | Professional | None | $912.01 | $1,380.38 | $2,511.89 |
United Setting Facility Modifier None Typical Low $891.25 Median $2,818.38 Typical High $9,120.11 | Facility | None | $891.25 | $2,818.38 | $9,120.11 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,737.80 Typical High $2,187.76 | Professional | None | $1,288.25 | $1,737.80 | $2,187.76 |
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 |
|---|---|---|---|---|---|
Health Alliance Plan Setting Professional Modifier AS · PA/NP assist Typical Low $194.98 Median $239.88 Typical High $602.56 | Professional | AS · PA/NP assist | $194.98 | $239.88 | $602.56 |
Where Michigan sits
The same service costs 8.7 times more in Maine than in Kentucky. 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.
Physician feeFacility fee
ME $27,149KY $3,127
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.