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 $4.47 Median $4.68 Typical High $6.46 | Facility | None | $4.47 | $4.68 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $5.13 Typical High $5.13 | Professional | None | $4.47 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.68 Median $0.78 Typical High $0.78 | Professional | 55 · Aftercare only | $0.68 | $0.78 | $0.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.45 Median $0.51 Typical High $0.51 | Professional | 56 · Pre-op care only | $0.45 | $0.51 | $0.51 |
BCBS Michigan Setting Facility Modifier None Typical Low $5.37 Median $12.88 Typical High $23.99 | Facility | None | $5.37 | $12.88 | $23.99 |
BCBS Michigan Setting Professional Modifier None Typical Low $4.27 Median $4.47 Typical High $4.47 | Professional | None | $4.27 | $4.47 | $4.47 |
CareSource Setting Professional Modifier None Typical Low $4.79 Median $6.76 Typical High $6.76 | Professional | None | $4.79 | $6.76 | $6.76 |
Cigna Setting Professional Modifier None Typical Low $1.29 Median $8.91 Typical High $8.91 | Professional | None | $1.29 | $8.91 | $8.91 |
Health Alliance Plan Setting Facility Modifier None Typical Low $5.89 Median $16.22 Typical High $870.96 | Facility | None | $5.89 | $16.22 | $870.96 |
Health Alliance Plan Setting Professional Modifier None Typical Low $4.17 Median $5.62 Typical High $7.24 | Professional | None | $4.17 | $5.62 | $7.24 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.63 Median $0.63 Typical High $0.63 | Professional | 55 · Aftercare only | $0.63 | $0.63 | $0.63 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.42 Median $0.42 Typical High $0.42 | Professional | 56 · Pre-op care only | $0.42 | $0.42 | $0.42 |
Priority Health Setting Professional Modifier None Typical Low $1.29 Median $8.91 Typical High $8.91 | Professional | None | $1.29 | $8.91 | $8.91 |
United Setting Professional Modifier None Typical Low $3.09 Median $3.72 Typical High $5.13 | Professional | None | $3.09 | $3.72 | $5.13 |
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 |
|---|---|---|---|---|---|
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | RR · Rental | $4.47 | $4.47 | $4.47 |
Where Michigan sits
The same service costs 3.2 times more in Montana than in Colorado. 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· 23rd of 51
$4.47
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.