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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | None | $229.09 | $229.09 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
BCBS Michigan Setting Facility Modifier None Typical Low $223.87 Median $416.87 Typical High $870.96 | Facility | None | $223.87 | $416.87 | $870.96 |
BCBS Michigan Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $251.19 | Professional | None | $213.80 | $223.87 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $251.19 | Professional | None | $158.49 | $158.49 | $251.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $707.95 | Facility | None | $213.80 | $251.19 | $707.95 |
Health Alliance Plan Setting Professional Modifier None Typical Low $194.98 Median $239.88 Typical High $323.59 | Professional | None | $194.98 | $239.88 | $323.59 |
Priority Health Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $251.19 | Professional | None | $158.49 | $158.49 | $251.19 |
United Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $323.59 | Professional | None | $223.87 | $269.15 | $323.59 |
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 $114.82 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 55 · Aftercare only | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 56 · Pre-op care only | $22.91 | $22.91 | $22.91 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $199.53 Median $213.80 Typical High $223.87 | Professional | JW · Drug discarded | $199.53 | $213.80 | $223.87 |
Where Michigan sits
The same service costs 2.0 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· 29th of 51
$240
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.