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 $338.84 Median $338.84 Typical High $426.58 | Facility | None | $338.84 | $338.84 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $446.68 | Professional | None | $338.84 | $338.84 | $446.68 |
Ambetter Setting Professional Modifier None Typical Low $263.03 Median $288.40 Typical High $338.84 | Professional | None | $263.03 | $288.40 | $338.84 |
BCBS Michigan Setting Facility Modifier None Typical Low $316.23 Median $588.84 Typical High $1,230.27 | Facility | None | $316.23 | $588.84 | $1,230.27 |
BCBS Michigan Setting Professional Modifier None Typical Low $302.00 Median $316.23 Typical High $346.74 | Professional | None | $302.00 | $316.23 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Health Alliance Plan Setting Facility Modifier None Typical Low $173.78 Median $331.13 Typical High $912.01 | Facility | None | $173.78 | $331.13 | $912.01 |
Health Alliance Plan Setting Professional Modifier None Typical Low $288.40 Median $346.74 Typical High $537.03 | Professional | None | $288.40 | $346.74 | $537.03 |
Priority Health Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
United Setting Facility Modifier None Typical Low $323.59 Median $338.84 Typical High $338.84 | Facility | None | $323.59 | $338.84 | $338.84 |
United Setting Professional Modifier None Typical Low $316.23 Median $363.08 Typical High $436.52 | Professional | None | $316.23 | $363.08 | $436.52 |
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 $169.82 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $33.88 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $281.84 Median $295.12 Typical High $316.23 | Professional | JW · Drug discarded | $281.84 | $295.12 | $316.23 |
Where Michigan sits
The same service costs 2.9 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· 42nd of 51
$339
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.