How much rates vary
Facilitymedian $251 · 10th to 90th $89 to $617Professionalmedian $48 · 10th to 90th $37 to $68
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 $44.67 Median $54.95 Typical High $4,897.79 | Facility | None | $44.67 | $54.95 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $45.71 Typical High $56.23 | Professional | None | $37.15 | $45.71 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $22.91 Typical High $28.18 | Professional | 52 · Reduced service | $22.39 | $22.91 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.33 Typical High $11.22 | Professional | 53 · Discontinued | $8.91 | $9.33 | $11.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $34.67 Typical High $41.69 | Professional | 54 · Surgery only | $33.88 | $34.67 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $6.92 Typical High $8.32 | Professional | 55 · Aftercare only | $6.76 | $6.92 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.57 Typical High $5.62 | Professional | 56 · Pre-op care only | $4.47 | $4.57 | $5.62 |
BCBS Michigan Setting Facility Modifier None Typical Low $251.19 Median $257.04 Typical High $436.52 | Facility | None | $251.19 | $257.04 | $436.52 |
BCBS Michigan Setting Professional Modifier None Typical Low $44.67 Median $67.61 Typical High $69.18 | Professional | None | $44.67 | $67.61 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $41.69 Typical High $77.62 | Professional | None | $26.92 | $41.69 | $77.62 |
Health Alliance Plan Setting Facility Modifier None Typical Low $45.71 Median $114.82 Typical High $4,897.79 | Facility | None | $45.71 | $114.82 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $57.54 | Professional | None | $42.66 | $50.12 | $57.54 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $22.91 Typical High $27.54 | Professional | 52 · Reduced service | $21.88 | $22.91 | $27.54 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.12 Typical High $11.22 | Professional | 53 · Discontinued | $8.71 | $9.12 | $11.22 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $33.11 Median $33.88 Typical High $41.69 | Professional | 54 · Surgery only | $33.11 | $33.88 | $41.69 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $6.92 Typical High $8.32 | Professional | 55 · Aftercare only | $6.61 | $6.92 | $8.32 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.57 Typical High $5.50 | Professional | 56 · Pre-op care only | $4.37 | $4.57 | $5.50 |
Priority Health Setting Professional Modifier None Typical Low $26.92 Median $33.11 Typical High $74.13 | Professional | None | $26.92 | $33.11 | $74.13 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,258.93 | Facility | None | $91.20 | $177.83 | $1,258.93 |
United Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $54.95 | Professional | None | $36.31 | $44.67 | $54.95 |
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 $72.44 Median $102.33 Typical High $102.33 | Professional | 50 · Both sides | $72.44 | $102.33 | $102.33 |
Where Michigan sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 30th of 51
$50.12
AK $135UT $35.48
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.