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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,238.72 | $2,454.71 | $2,454.71 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,511.89 Median $4,466.84 Typical High $9,332.54 | Facility | None | $2,511.89 | $4,466.84 | $9,332.54 |
BCBS Michigan Setting Professional Modifier None Typical Low $2,344.23 Median $2,511.89 Typical High $2,754.23 | Professional | None | $2,344.23 | $2,511.89 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,691.53 | Professional | None | $1,659.59 | $1,659.59 | $2,691.53 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2,454.71 Median $2,754.23 Typical High $9,120.11 | Facility | None | $2,454.71 | $2,754.23 | $9,120.11 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2,454.71 Median $3,090.30 Typical High $4,168.69 | Professional | None | $2,454.71 | $3,090.30 | $4,168.69 |
Priority Health Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,691.53 | Professional | None | $1,659.59 | $1,659.59 | $2,691.53 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $3,019.95 Typical High $3,467.37 | Professional | None | $2,511.89 | $3,019.95 | $3,467.37 |
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 $1,122.02 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,122.02 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $446.68 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $331.13 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $223.87 | $245.47 | $245.47 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $2,238.72 Median $2,344.23 Typical High $2,454.71 | Professional | JW · Drug discarded | $2,238.72 | $2,344.23 | $2,454.71 |
Where Michigan sits
The same service costs 25.1 times more in Arizona 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.
Michigan· 21st of 51
$2,692
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.