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 $3.80 Median $3.80 Typical High $3.98 | Facility | None | $3.80 | $3.80 | $3.98 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $3.98 Typical High $3.98 | Professional | None | $3.80 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.56 Median $0.59 Typical High $0.59 | Professional | 55 · Aftercare only | $0.56 | $0.59 | $0.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.38 Median $0.39 Typical High $0.39 | Professional | 56 · Pre-op care only | $0.38 | $0.39 | $0.39 |
Ambetter Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | None | $3.31 | $3.31 | $3.31 |
BCBS Michigan Setting Facility Modifier None Typical Low $5.01 Median $12.30 Typical High $23.44 | Facility | None | $5.01 | $12.30 | $23.44 |
BCBS Michigan Setting Professional Modifier None Typical Low $3.98 Median $4.17 Typical High $4.17 | Professional | None | $3.98 | $4.17 | $4.17 |
CareSource Setting Facility Modifier None Typical Low $2.88 Median $2.88 Typical High $2.88 | Facility | None | $2.88 | $2.88 | $2.88 |
CareSource Setting Professional Modifier None Typical Low $4.47 Median $6.17 Typical High $6.31 | Professional | None | $4.47 | $6.17 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $3.09 | Facility | None | $2.95 | $2.95 | $3.09 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $2.63 Typical High $3.09 | Professional | None | $2.45 | $2.63 | $3.09 |
Health Alliance Plan Setting Facility Modifier None Typical Low $3.24 Median $4.07 Typical High $8.91 | Facility | None | $3.24 | $4.07 | $8.91 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2.88 Median $3.31 Typical High $4.27 | Professional | None | $2.88 | $3.31 | $4.27 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.48 Median $0.48 Typical High $0.48 | Professional | 55 · Aftercare only | $0.48 | $0.48 | $0.48 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.32 Median $0.32 Typical High $0.32 | Professional | 56 · Pre-op care only | $0.32 | $0.32 | $0.32 |
Priority Health Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $3.09 | Facility | None | $2.95 | $2.95 | $3.09 |
Priority Health Setting Professional Modifier None Typical Low $2.57 Median $2.63 Typical High $3.47 | Professional | None | $2.57 | $2.63 | $3.47 |
United Setting Professional Modifier None Typical Low $1.74 Median $2.04 Typical High $2.88 | Professional | None | $1.74 | $2.04 | $2.88 |
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 $4.17 Median $4.17 Typical High $4.17 | Professional | RR · Rental | $4.17 | $4.17 | $4.17 |
Where Michigan sits
The same service costs 5.5 times more in Kansas than in Delaware. 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· 18th of 51
$3.55
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.