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 $60.26 Median $61.66 Typical High $120.23 | Facility | None | $60.26 | $61.66 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $74.13 Typical High $120.23 | Professional | None | $58.88 | $74.13 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $37.15 Typical High $60.26 | Professional | 52 · Reduced service | $29.51 | $37.15 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $14.79 Typical High $23.99 | Professional | 53 · Discontinued | $11.75 | $14.79 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $10.96 Typical High $17.78 | Professional | 55 · Aftercare only | $8.91 | $10.96 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $7.41 Typical High $12.02 | Professional | 56 · Pre-op care only | $5.89 | $7.41 | $12.02 |
BCBS Michigan Setting Facility Modifier None Typical Low $125.89 Median $295.12 Typical High $588.84 | Facility | None | $125.89 | $295.12 | $588.84 |
BCBS Michigan Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $162.18 | Professional | None | $64.57 | $69.18 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $75.86 Typical High $147.91 | Professional | None | $38.02 | $75.86 | $147.91 |
Health Alliance Plan Setting Facility Modifier None Typical Low $60.26 Median $263.03 Typical High $288.40 | Facility | None | $60.26 | $263.03 | $288.40 |
Health Alliance Plan Setting Professional Modifier None Typical Low $60.26 Median $114.82 Typical High $131.83 | Professional | None | $60.26 | $114.82 | $131.83 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $36.31 Typical High $60.26 | Professional | 52 · Reduced service | $30.20 | $36.31 | $60.26 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $14.45 Typical High $23.99 | Professional | 53 · Discontinued | $12.02 | $14.45 | $23.99 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $10.72 Typical High $17.78 | Professional | 55 · Aftercare only | $9.12 | $10.72 | $17.78 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $7.24 Typical High $12.02 | Professional | 56 · Pre-op care only | $6.03 | $7.24 | $12.02 |
Priority Health Setting Professional Modifier None Typical Low $36.31 Median $74.13 Typical High $117.49 | Professional | None | $36.31 | $74.13 | $117.49 |
United Setting Facility Modifier None Typical Low $457.09 Median $602.56 Typical High $1,258.93 | Facility | None | $457.09 | $602.56 | $1,258.93 |
United Setting Professional Modifier None Typical Low $36.31 Median $64.57 Typical High $109.65 | Professional | None | $36.31 | $64.57 | $109.65 |
1 more rate 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Michigan sits
The same service costs 2.8 times more in Alaska than in Maryland. 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· 36th of 51
$74.13
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.