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 $23.99 | Facility | None | $22.91 | $22.91 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $23.99 Typical High $23.99 | Professional | None | $22.91 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $3.63 Typical High $3.63 | Professional | 55 · Aftercare only | $3.47 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.40 Typical High $2.40 | Professional | 56 · Pre-op care only | $2.29 | $2.40 | $2.40 |
BCBS Michigan Setting Facility Modifier None Typical Low $30.90 Median $75.86 Typical High $144.54 | Facility | None | $30.90 | $75.86 | $144.54 |
BCBS Michigan Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | None | $24.55 | $25.70 | $25.70 |
CareSource Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $16.22 Typical High $16.22 | Professional | None | $13.18 | $16.22 | $16.22 |
Health Alliance Plan Setting Facility Modifier None Typical Low $9.33 Median $19.95 Typical High $54.95 | Facility | None | $9.33 | $19.95 | $54.95 |
Health Alliance Plan Setting Professional Modifier None Typical Low $16.22 Median $20.42 Typical High $26.30 | Professional | None | $16.22 | $20.42 | $26.30 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | 55 · Aftercare only | $2.95 | $2.95 | $2.95 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.95 | $1.95 | $1.95 |
Priority Health Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Priority Health Setting Professional Modifier None Typical Low $14.13 Median $16.22 Typical High $18.20 | Professional | None | $14.13 | $16.22 | $18.20 |
United Setting Professional Modifier None Typical Low $9.12 Median $12.02 Typical High $16.98 | Professional | None | $9.12 | $12.02 | $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 $25.70 Median $25.70 Typical High $25.70 | Professional | RR · Rental | $25.70 | $25.70 | $25.70 |
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· 12th of 51
$21.88
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.