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 $18.62 Median $18.62 Typical High $19.50 | Facility | None | $18.62 | $18.62 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $19.50 Typical High $19.50 | Professional | None | $18.62 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $2.95 Typical High $2.95 | Professional | 55 · Aftercare only | $2.82 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $1.95 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.86 | $1.95 | $1.95 |
BCBS Michigan Setting Facility Modifier None Typical Low $25.12 Median $61.66 Typical High $114.82 | Facility | None | $25.12 | $61.66 | $114.82 |
BCBS Michigan Setting Professional Modifier None Typical Low $19.50 Median $20.89 Typical High $20.89 | Professional | None | $19.50 | $20.89 | $20.89 |
CareSource Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $12.30 Typical High $12.30 | Facility | None | $8.91 | $12.30 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $13.18 Typical High $13.18 | Professional | None | $10.47 | $13.18 | $13.18 |
Health Alliance Plan Setting Facility Modifier None Typical Low $15.85 Median $40.74 Typical High $43.65 | Facility | None | $15.85 | $40.74 | $43.65 |
Health Alliance Plan Setting Professional Modifier None Typical Low $13.18 Median $16.60 Typical High $21.38 | Professional | None | $13.18 | $16.60 | $21.38 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | 55 · Aftercare only | $2.34 | $2.34 | $2.34 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.58 | $1.58 | $1.58 |
Priority Health Setting Facility Modifier None Typical Low $8.91 Median $12.30 Typical High $12.30 | Facility | None | $8.91 | $12.30 | $12.30 |
Priority Health Setting Professional Modifier None Typical Low $10.47 Median $13.18 Typical High $16.22 | Professional | None | $10.47 | $13.18 | $16.22 |
United Setting Professional Modifier None Typical Low $7.24 Median $9.77 Typical High $13.80 | Professional | None | $7.24 | $9.77 | $13.80 |
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 $20.89 Median $20.89 Typical High $20.89 | Professional | RR · Rental | $20.89 | $20.89 | $20.89 |
Where Michigan sits
The same service costs 3.0 times more in Hawaii 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· 9th of 51
$17.78
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.