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 $57.54 Median $57.54 Typical High $60.26 | Facility | None | $57.54 | $57.54 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | None | $57.54 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.91 Typical High $8.91 | Professional | 55 · Aftercare only | $8.71 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $6.03 Typical High $6.03 | Professional | 56 · Pre-op care only | $5.75 | $6.03 | $6.03 |
BCBS Michigan Setting Facility Modifier None Typical Low $77.62 Median $190.55 Typical High $354.81 | Facility | None | $77.62 | $190.55 | $354.81 |
BCBS Michigan Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $63.10 | Professional | None | $60.26 | $63.10 | $63.10 |
CareSource Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $38.02 Typical High $38.02 | Facility | None | $34.67 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $45.71 Typical High $45.71 | Professional | None | $32.36 | $45.71 | $45.71 |
Health Alliance Plan Setting Facility Modifier None Typical Low $48.98 Median $123.03 Typical High $134.90 | Facility | None | $48.98 | $123.03 | $134.90 |
Health Alliance Plan Setting Professional Modifier None Typical Low $45.71 Median $51.29 Typical High $64.57 | Professional | None | $45.71 | $51.29 | $64.57 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 55 · Aftercare only | $7.24 | $7.24 | $7.24 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $4.79 |
Priority Health Setting Facility Modifier None Typical Low $34.67 Median $38.02 Typical High $38.02 | Facility | None | $34.67 | $38.02 | $38.02 |
Priority Health Setting Professional Modifier None Typical Low $38.02 Median $45.71 Typical High $45.71 | Professional | None | $38.02 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $22.39 Median $30.20 Typical High $42.66 | Professional | None | $22.39 | $30.20 | $42.66 |
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 $63.10 Median $63.10 Typical High $63.10 | Professional | RR · Rental | $63.10 | $63.10 | $63.10 |
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· 10th of 51
$57.54
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.