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 $1,513.56 Median $2,884.03 Typical High $4,897.79 | Facility | None | $1,513.56 | $2,884.03 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $1,621.81 | Professional | None | $1,288.25 | $1,548.82 | $1,621.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,174.90 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,122.02 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,096.48 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,096.48 | $1,096.48 |
BCBS Michigan Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $645.65 | Facility | None | $346.74 | $346.74 | $645.65 |
BCBS Michigan Setting Professional Modifier None Typical Low $1,412.54 Median $1,584.89 Typical High $2,238.72 | Professional | None | $1,412.54 | $1,584.89 | $2,238.72 |
CareSource Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,174.90 Typical High $2,238.72 | Professional | None | $776.25 | $1,174.90 | $2,238.72 |
Health Alliance Plan Setting Facility Modifier None Typical Low $309.03 Median $2,818.38 Typical High $4,897.79 | Facility | None | $309.03 | $2,818.38 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $1,621.81 | Professional | None | $1,071.52 | $1,380.38 | $1,621.81 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $1,122.02 | $1,148.15 | $1,148.15 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,071.52 | $1,071.52 |
Priority Health Setting Professional Modifier None Typical Low $288.40 Median $933.25 Typical High $3,388.44 | Professional | None | $288.40 | $933.25 | $3,388.44 |
United Setting Facility Modifier None Typical Low $288.40 Median $426.58 Typical High $1,995.26 | Facility | None | $288.40 | $426.58 | $1,995.26 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $1,548.82 | Professional | None | $1,174.90 | $1,288.25 | $1,548.82 |
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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | 50 · Both sides | $2,398.83 | $2,398.83 | $2,398.83 |
Where Michigan sits
The same service costs 6.3 times more in Wyoming than in Texas. 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· 19th of 51
$1,479
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.