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 $22.91 Median $22.91 Typical High $23.44 | Facility | None | $22.91 | $22.91 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $23.44 Typical High $23.44 | Professional | None | $22.91 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $3.55 Typical High $3.55 | Professional | 55 · Aftercare only | $3.39 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.34 Typical High $2.34 | Professional | 56 · Pre-op care only | $2.29 | $2.34 | $2.34 |
BCBS Michigan Setting Facility Modifier None Typical Low $30.20 Median $74.13 Typical High $141.25 | Facility | None | $30.20 | $74.13 | $141.25 |
BCBS Michigan Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $25.12 | Professional | None | $23.99 | $25.12 | $25.12 |
CareSource Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $15.14 Typical High $15.14 | Facility | None | $12.02 | $15.14 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $15.14 | Professional | None | $12.02 | $12.02 | $15.14 |
Health Alliance Plan Setting Facility Modifier None Typical Low $19.05 Median $48.98 Typical High $53.70 | Facility | None | $19.05 | $48.98 | $53.70 |
Health Alliance Plan Setting Professional Modifier None Typical Low $15.85 Median $19.95 Typical High $25.70 | Professional | None | $15.85 | $19.95 | $25.70 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 55 · Aftercare only | $2.88 | $2.88 | $2.88 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.91 | $1.91 | $1.91 |
Priority Health Setting Facility Modifier None Typical Low $12.02 Median $15.14 Typical High $15.14 | Facility | None | $12.02 | $15.14 | $15.14 |
Priority Health Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $17.78 | Professional | None | $12.02 | $12.02 | $17.78 |
United Setting Professional Modifier None Typical Low $8.91 Median $11.75 Typical High $16.98 | Professional | None | $8.91 | $11.75 | $16.98 |
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 $25.12 Median $25.12 Typical High $25.12 | Professional | RR · Rental | $25.12 | $25.12 | $25.12 |
Where Michigan sits
The same service costs 3.5 times more in Hawaii than in Connecticut. 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· 11th of 51
$21.38
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.