How much rates vary
Facilitymedian $1,479 · 10th to 90th $813 to $3,162Professionalmedian $603 · 10th to 90th $195 to $1,122
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 $204.17 Median $1,047.13 Typical High $4,897.79 | Facility | None | $204.17 | $1,047.13 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $616.60 Typical High $1,071.52 | Professional | None | $204.17 | $616.60 | $1,071.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $501.19 Typical High $794.33 | Professional | 54 · Surgery only | $154.88 | $501.19 | $794.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $467.74 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $144.54 | $467.74 | $741.31 |
BCBS Michigan Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,570.40 | Facility | None | $1,479.11 | $1,479.11 | $2,570.40 |
BCBS Michigan Setting Professional Modifier None Typical Low $128.82 Median $281.84 Typical High $1,380.38 | Professional | None | $128.82 | $281.84 | $1,380.38 |
CareSource Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $457.09 Typical High $1,258.93 | Professional | None | $158.49 | $457.09 | $1,258.93 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,071.52 Median $1,862.09 Typical High $4,897.79 | Facility | None | $1,071.52 | $1,862.09 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $208.93 Median $912.01 Typical High $1,122.02 | Professional | None | $208.93 | $912.01 | $1,122.02 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $218.78 Typical High $851.14 | Professional | 54 · Surgery only | $151.36 | $218.78 | $851.14 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $204.17 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $141.25 | $204.17 | $794.33 |
Priority Health Setting Professional Modifier None Typical Low $125.89 Median $457.09 Typical High $1,071.52 | Professional | None | $125.89 | $457.09 | $1,071.52 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $5,011.87 | Facility | None | $602.56 | $1,230.27 | $5,011.87 |
United Setting Professional Modifier None Typical Low $190.55 Median $645.65 Typical High $954.99 | Professional | None | $190.55 | $645.65 | $954.99 |
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 $331.13 Median $331.13 Typical High $2,041.74 | Professional | 50 · Both sides | $331.13 | $331.13 | $2,041.74 |
Where Michigan sits
The same service costs 3.5 times more in Colorado 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
CO $4,667MT $1,347
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.