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 $2.82 Median $2.82 Typical High $2.88 | Facility | None | $2.82 | $2.82 | $2.88 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $2.88 Typical High $2.88 | Professional | None | $2.82 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.42 Median $0.44 Typical High $0.44 | Professional | 55 · Aftercare only | $0.42 | $0.44 | $0.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.28 | $0.28 | $0.28 |
BCBS Michigan Setting Facility Modifier None Typical Low $3.72 Median $9.12 Typical High $17.38 | Facility | None | $3.72 | $9.12 | $17.38 |
BCBS Michigan Setting Professional Modifier None Typical Low $2.95 Median $3.09 Typical High $3.09 | Professional | None | $2.95 | $3.09 | $3.09 |
CareSource Setting Facility Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Facility | None | $2.04 | $2.04 | $2.04 |
Cigna Setting Facility Modifier None Typical Low $1.86 Median $1.86 Typical High $2.00 | Facility | None | $1.86 | $1.86 | $2.00 |
Cigna Setting Professional Modifier None Typical Low $1.58 Median $1.95 Typical High $2.19 | Professional | None | $1.58 | $1.95 | $2.19 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2.34 Median $6.03 Typical High $6.61 | Facility | None | $2.34 | $6.03 | $6.61 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1.95 Median $2.45 Typical High $3.16 | Professional | None | $1.95 | $2.45 | $3.16 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | 55 · Aftercare only | $0.35 | $0.35 | $0.35 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.24 Median $0.24 Typical High $0.24 | Professional | 56 · Pre-op care only | $0.24 | $0.24 | $0.24 |
Priority Health Setting Facility Modifier None Typical Low $1.86 Median $1.86 Typical High $2.00 | Facility | None | $1.86 | $1.86 | $2.00 |
Priority Health Setting Professional Modifier None Typical Low $1.86 Median $1.95 Typical High $2.29 | Professional | None | $1.86 | $1.95 | $2.29 |
United Setting Professional Modifier None Typical Low $1.10 Median $1.45 Typical High $2.04 | Professional | None | $1.10 | $1.45 | $2.04 |
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 $3.09 Median $3.09 Typical High $3.09 | Professional | RR · Rental | $3.09 | $3.09 | $3.09 |
Where Michigan sits
The same service costs 3.0 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· 14th of 51
$2.57
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.