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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
BCBS Michigan Setting Facility Modifier None Typical Low $457.09 Median $851.14 Typical High $1,778.28 | Facility | None | $457.09 | $851.14 | $1,778.28 |
BCBS Michigan Setting Professional Modifier None Typical Low $426.58 Median $457.09 Typical High $501.19 | Professional | None | $426.58 | $457.09 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $501.19 | Professional | None | $281.84 | $281.84 | $501.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $457.09 Median $537.03 Typical High $1,698.24 | Facility | None | $457.09 | $537.03 | $1,698.24 |
Health Alliance Plan Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $776.25 | Professional | None | $457.09 | $575.44 | $776.25 |
Priority Health Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $501.19 | Professional | None | $281.84 | $281.84 | $501.19 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $645.65 | Professional | None | $457.09 | $537.03 | $645.65 |
5 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $45.71 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $407.38 Median $426.58 Typical High $446.68 | Professional | JW · Drug discarded | $407.38 | $426.58 | $446.68 |
Where Michigan sits
The same service costs 4.9 times more in Alabama than in Hawaii. 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· 29th of 51
$501
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.