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 $87.10 Median $117.49 Typical High $4,897.79 | Facility | None | $87.10 | $117.49 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $79.43 Typical High $114.82 | Professional | None | $60.26 | $79.43 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $67.61 Typical High $87.10 | Professional | 54 · Surgery only | $64.57 | $67.61 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $60.26 Median $63.10 Typical High $81.28 | Professional | 78 · Unplanned return to OR | $60.26 | $63.10 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
BCBS Michigan Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $95.50 | Facility | None | $54.95 | $54.95 | $95.50 |
BCBS Michigan Setting Professional Modifier None Typical Low $19.05 Median $144.54 Typical High $147.91 | Professional | None | $19.05 | $144.54 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $87.10 Typical High $158.49 | Professional | None | $48.98 | $87.10 | $158.49 |
Health Alliance Plan Setting Facility Modifier None Typical Low $69.18 Median $208.93 Typical High $4,897.79 | Facility | None | $69.18 | $208.93 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $60.26 Median $89.13 Typical High $117.49 | Professional | None | $60.26 | $89.13 | $117.49 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $66.07 Typical High $87.10 | Professional | 54 · Surgery only | $63.10 | $66.07 | $87.10 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $58.88 Median $61.66 Typical High $81.28 | Professional | 78 · Unplanned return to OR | $58.88 | $61.66 | $81.28 |
Priority Health Setting Professional Modifier None Typical Low $48.98 Median $85.11 Typical High $123.03 | Professional | None | $48.98 | $85.11 | $123.03 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,202.26 | Facility | None | $91.20 | $177.83 | $1,202.26 |
United Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $107.15 | Professional | None | $75.86 | $91.20 | $107.15 |
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 $223.87 Median $223.87 Typical High $223.87 | Professional | 50 · Both sides | $223.87 | $223.87 | $223.87 |
Where Michigan sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 36th of 51
$89.13
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.