How much rates vary
Facilitymedian $3,467 · 10th to 90th $501 to $5,370Professionalmedian $1,175 · 10th to 90th $832 to $1,778
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,348.96 | Professional | None | $812.83 | $1,096.48 | $1,348.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $501.19 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $199.53 | $218.78 | $218.78 |
Ambetter Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,258.93 | Professional | None | $933.25 | $933.25 | $1,258.93 |
BCBS Michigan Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $6,025.60 | Facility | None | $3,467.37 | $3,467.37 | $6,025.60 |
BCBS Michigan Setting Professional Modifier None Typical Low $309.03 Median $1,584.89 Typical High $1,698.24 | Professional | None | $309.03 | $1,584.89 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,000.00 Typical High $2,818.38 | Professional | None | $741.31 | $1,000.00 | $2,818.38 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,096.48 Median $4,073.80 Typical High $4,466.84 | Facility | None | $1,096.48 | $4,073.80 | $4,466.84 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,000.00 Median $1,412.54 Typical High $2,041.74 | Professional | None | $1,000.00 | $1,412.54 | $2,041.74 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $537.03 Median $537.03 Typical High $549.54 | Professional | 52 · Reduced service | $537.03 | $537.03 | $549.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Priority Health Setting Professional Modifier None Typical Low $741.31 Median $1,000.00 Typical High $1,445.44 | Professional | None | $741.31 | $1,000.00 | $1,445.44 |
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 $977.24 Median $1,148.15 Typical High $1,445.44 | Professional | None | $977.24 | $1,148.15 | $1,445.44 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 82 · Assistant surgeon, no resident | $147.91 | $147.91 | $147.91 |
Health Alliance Plan Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $229.09 Typical High $371.54 | Professional | 80 · Assistant surgeon | $117.49 | $229.09 | $371.54 |
Where Michigan sits
The same service costs 10.3 times more in Maine 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.
Physician feeFacility fee
ME $15,629AR $1,524
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.