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 $19.95 Median $20.89 Typical High $21.38 | Facility | None | $19.95 | $20.89 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $20.89 Typical High $20.89 | Professional | None | $19.95 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.16 Typical High $3.16 | Professional | 55 · Aftercare only | $3.02 | $3.16 | $3.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.00 Median $2.09 Typical High $2.09 | Professional | 56 · Pre-op care only | $2.00 | $2.09 | $2.09 |
BCBS Michigan Setting Facility Modifier None Typical Low $26.92 Median $66.07 Typical High $125.89 | Facility | None | $26.92 | $66.07 | $125.89 |
BCBS Michigan Setting Professional Modifier None Typical Low $21.38 Median $22.39 Typical High $22.39 | Professional | None | $21.38 | $22.39 | $22.39 |
CareSource Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $13.49 Typical High $13.49 | Facility | None | $9.55 | $13.49 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.75 Typical High $13.49 | Professional | None | $11.48 | $11.75 | $13.49 |
Health Alliance Plan Setting Facility Modifier None Typical Low $16.98 Median $42.66 Typical High $47.86 | Facility | None | $16.98 | $42.66 | $47.86 |
Health Alliance Plan Setting Professional Modifier None Typical Low $14.13 Median $17.78 Typical High $22.91 | Professional | None | $14.13 | $17.78 | $22.91 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 55 · Aftercare only | $2.51 | $2.51 | $2.51 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | 56 · Pre-op care only | $1.70 | $1.70 | $1.70 |
Priority Health Setting Facility Modifier None Typical Low $9.55 Median $13.49 Typical High $13.49 | Facility | None | $9.55 | $13.49 | $13.49 |
Priority Health Setting Professional Modifier None Typical Low $11.48 Median $11.75 Typical High $16.60 | Professional | None | $11.48 | $11.75 | $16.60 |
United Setting Professional Modifier None Typical Low $7.94 Median $10.47 Typical High $15.14 | Professional | None | $7.94 | $10.47 | $15.14 |
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 $22.39 Median $22.39 Typical High $22.39 | Professional | RR · Rental | $22.39 | $22.39 | $22.39 |
Where Michigan sits
The same service costs 2.8 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· 12th of 51
$19.05
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.