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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
BCBS Michigan Setting Facility Modifier None Typical Low $190.55 Median $354.81 Typical High $741.31 | Facility | None | $190.55 | $354.81 | $741.31 |
BCBS Michigan Setting Professional Modifier None Typical Low $177.83 Median $190.55 Typical High $208.93 | Professional | None | $177.83 | $190.55 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | None | $177.83 | $177.83 | $213.80 |
Health Alliance Plan Setting Facility Modifier None Typical Low $186.21 Median $218.78 Typical High $588.84 | Facility | None | $186.21 | $218.78 | $588.84 |
Health Alliance Plan Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $269.15 | Professional | None | $186.21 | $199.53 | $269.15 |
Priority Health Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | None | $177.83 | $177.83 | $213.80 |
United Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $275.42 | Professional | None | $190.55 | $229.09 | $275.42 |
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 $95.50 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $19.50 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $169.82 Median $177.83 Typical High $186.21 | Professional | JW · Drug discarded | $169.82 | $177.83 | $186.21 |
Where Michigan sits
The same service costs 8.3 times more in Arizona than in Alabama. 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
$200
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.