How much rates vary
Facilitymedian $65 · 10th to 90th $42 to $490Professionalmedian $76 · 10th to 90th $56 to $100
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 $63.10 Median $81.28 Typical High $4,897.79 | Facility | None | $63.10 | $81.28 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $64.57 Typical High $83.18 | Professional | None | $63.10 | $64.57 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $32.36 Typical High $41.69 | Professional | 52 · Reduced service | $31.62 | $32.36 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.88 Typical High $16.60 | Professional | 53 · Discontinued | $12.59 | $12.88 | $16.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $48.98 Typical High $63.10 | Professional | 54 · Surgery only | $47.86 | $48.98 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.77 Typical High $12.59 | Professional | 55 · Aftercare only | $9.55 | $9.77 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.46 Typical High $8.32 | Professional | 56 · Pre-op care only | $6.31 | $6.46 | $8.32 |
BCBS Michigan Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $77.62 | Facility | None | $41.69 | $41.69 | $77.62 |
BCBS Michigan Setting Professional Modifier None Typical Low $12.30 Median $91.20 Typical High $102.33 | Professional | None | $12.30 | $91.20 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $61.66 Typical High $154.88 | Professional | None | $36.31 | $61.66 | $154.88 |
Health Alliance Plan Setting Facility Modifier None Typical Low $43.65 Median $79.43 Typical High $4,897.79 | Facility | None | $43.65 | $79.43 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $91.20 | Professional | None | $64.57 | $79.43 | $91.20 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $32.36 Typical High $41.69 | Professional | 52 · Reduced service | $30.90 | $32.36 | $41.69 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.88 Typical High $16.60 | Professional | 53 · Discontinued | $12.30 | $12.88 | $16.60 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $47.86 Typical High $61.66 | Professional | 54 · Surgery only | $46.77 | $47.86 | $61.66 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.55 Typical High $12.59 | Professional | 55 · Aftercare only | $9.33 | $9.55 | $12.59 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.46 Typical High $8.32 | Professional | 56 · Pre-op care only | $6.17 | $6.46 | $8.32 |
Priority Health Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $112.20 | Professional | None | $33.88 | $48.98 | $112.20 |
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 $56.23 Median $67.61 Typical High $85.11 | Professional | None | $56.23 | $67.61 | $85.11 |
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 $154.88 Median $154.88 Typical High $154.88 | Professional | 50 · Both sides | $154.88 | $154.88 | $154.88 |
Where Michigan sits
The same service costs 3.7 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· 26th of 51
$75.86
AK $191FL $51.29
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.