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 $31.62 Median $31.62 Typical High $33.11 | Facility | None | $31.62 | $31.62 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $33.11 Typical High $33.11 | Professional | None | $31.62 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $5.01 Typical High $5.01 | Professional | 55 · Aftercare only | $4.79 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.31 Typical High $3.31 | Professional | 56 · Pre-op care only | $3.16 | $3.31 | $3.31 |
Ambetter Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $36.31 | Professional | None | $35.48 | $35.48 | $36.31 |
BCBS Michigan Setting Facility Modifier None Typical Low $42.66 Median $104.71 Typical High $199.53 | Facility | None | $42.66 | $104.71 | $199.53 |
BCBS Michigan Setting Professional Modifier None Typical Low $33.88 Median $35.48 Typical High $35.48 | Professional | None | $33.88 | $35.48 | $35.48 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $21.38 Typical High $21.38 | Facility | None | $12.59 | $21.38 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $23.44 | Professional | None | $16.60 | $16.60 | $23.44 |
Health Alliance Plan Setting Facility Modifier None Typical Low $26.92 Median $69.18 Typical High $75.86 | Facility | None | $26.92 | $69.18 | $75.86 |
Health Alliance Plan Setting Professional Modifier None Typical Low $22.39 Median $28.18 Typical High $36.31 | Professional | None | $22.39 | $28.18 | $36.31 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 55 · Aftercare only | $4.07 | $4.07 | $4.07 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | 56 · Pre-op care only | $2.69 | $2.69 | $2.69 |
Priority Health Setting Facility Modifier None Typical Low $12.59 Median $21.38 Typical High $21.38 | Facility | None | $12.59 | $21.38 | $21.38 |
Priority Health Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $27.54 | Professional | None | $16.60 | $16.60 | $27.54 |
United Setting Professional Modifier None Typical Low $12.59 Median $16.60 Typical High $23.99 | Professional | None | $12.59 | $16.60 | $23.99 |
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 $35.48 Median $35.48 Typical High $35.48 | Professional | RR · Rental | $35.48 | $35.48 | $35.48 |
Where Michigan sits
The same service costs 2.6 times more in Hawaii than in New Hampshire. 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· 12th of 51
$30.20
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.