How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1.58 Median $1.58 Typical High $1.62 | Facility | None | $1.58 | $1.58 | $1.62 |
Aetna Setting Professional Modifier None Typical Low $1.58 Median $1.82 Typical High $1.82 | Professional | None | $1.58 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.24 Median $0.27 Typical High $0.27 | Professional | 55 · Aftercare only | $0.24 | $0.27 | $0.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.16 Median $0.18 Typical High $0.18 | Professional | 56 · Pre-op care only | $0.16 | $0.18 | $0.18 |
BCBS Michigan Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
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 |
Cigna Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $3.98 | Professional | None | $1.86 | $1.86 | $3.98 |
Health Alliance Plan Setting Facility Modifier None Typical Low $3.63 Median $4.57 Typical High $12.59 | Facility | None | $3.63 | $4.57 | $12.59 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1.48 Median $4.27 Typical High $5.62 | Professional | None | $1.48 | $4.27 | $5.62 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.22 Median $0.22 Typical High $0.22 | Professional | 55 · Aftercare only | $0.22 | $0.22 | $0.22 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | 56 · Pre-op care only | $0.15 | $0.15 | $0.15 |
Priority Health Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $3.98 | Professional | None | $1.86 | $1.86 | $3.98 |
United Setting Professional Modifier None Typical Low $1.07 Median $1.29 Typical High $1.82 | Professional | None | $1.07 | $1.29 | $1.82 |
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 6.0 times more in Minnesota than in Rhode Island. 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· 32nd of 51
$1.82
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.