How much rates vary
Facilitymedian $9,333 · 10th to 90th $1,230 to $14,791Professionalmedian $724 · 10th to 90th $135 to $832
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 $758.58 Median $4,897.79 Typical High $6,918.31 | Facility | None | $758.58 | $4,897.79 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $794.33 | Professional | None | $645.65 | $794.33 | $794.33 |
BCBS Michigan Setting Facility Modifier None Typical Low $9,332.54 Median $9,549.93 Typical High $16,218.10 | Facility | None | $9,332.54 | $9,549.93 | $16,218.10 |
BCBS Michigan Setting Professional Modifier None Typical Low $134.90 Median $501.19 Typical High $794.33 | Professional | None | $134.90 | $501.19 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $707.95 Typical High $2,089.30 | Professional | None | $467.74 | $707.95 | $2,089.30 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,445.44 Median $5,754.40 Typical High $6,309.57 | Facility | None | $1,445.44 | $5,754.40 | $6,309.57 |
Health Alliance Plan Setting Professional Modifier None Typical Low $588.84 Median $741.31 Typical High $891.25 | Professional | None | $588.84 | $741.31 | $891.25 |
Priority Health Setting Professional Modifier None Typical Low $467.74 Median $794.33 Typical High $1,023.29 | Professional | None | $467.74 | $794.33 | $1,023.29 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $4,466.84 Typical High $12,302.69 | Facility | None | $1,047.13 | $4,466.84 | $12,302.69 |
United Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $954.99 | Professional | None | $645.65 | $707.95 | $954.99 |
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 $323.59 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $323.59 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $128.82 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $478.63 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $97.72 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $64.57 | $79.43 | $79.43 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $371.54 | $389.05 | $389.05 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $151.36 | $154.88 | $154.88 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $562.34 | $588.84 | $588.84 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $112.20 | $117.49 | $117.49 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $74.13 | $77.62 | $77.62 |
Where Michigan sits
The same service costs 9.8 times more in Alaska than in Montana. 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
AK $17,480MT $1,783
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.