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 $7.94 Median $7.94 Typical High $8.13 | Facility | None | $7.94 | $7.94 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $8.13 Typical High $8.13 | Professional | None | $7.94 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.17 Median $1.23 Typical High $1.23 | Professional | 55 · Aftercare only | $1.17 | $1.23 | $1.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.79 Median $0.81 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.79 | $0.81 | $0.81 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
BCBS Michigan Setting Facility Modifier None Typical Low $10.47 Median $25.70 Typical High $48.98 | Facility | None | $10.47 | $25.70 | $48.98 |
BCBS Michigan Setting Professional Modifier None Typical Low $8.32 Median $8.71 Typical High $8.71 | Professional | None | $8.32 | $8.71 | $8.71 |
CareSource Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
CareSource Setting Professional Modifier None Typical Low $10.23 Median $14.45 Typical High $14.45 | Professional | None | $10.23 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.61 | Facility | None | $6.17 | $6.17 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.50 Typical High $6.61 | Professional | None | $5.25 | $5.50 | $6.61 |
Health Alliance Plan Setting Facility Modifier None Typical Low $6.76 Median $7.94 Typical High $18.62 | Facility | None | $6.76 | $7.94 | $18.62 |
Health Alliance Plan Setting Professional Modifier None Typical Low $6.03 Median $6.92 Typical High $8.91 | Professional | None | $6.03 | $6.92 | $8.91 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | 55 · Aftercare only | $1.00 | $1.00 | $1.00 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | 56 · Pre-op care only | $0.68 | $0.68 | $0.68 |
Priority Health Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.61 | Facility | None | $6.17 | $6.17 | $6.61 |
Priority Health Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $7.08 | Professional | None | $5.50 | $5.50 | $7.08 |
United Setting Professional Modifier None Typical Low $3.63 Median $4.37 Typical High $6.17 | Professional | None | $3.63 | $4.37 | $6.17 |
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 $8.71 Median $8.71 Typical High $8.71 | Professional | RR · Rental | $8.71 | $8.71 | $8.71 |
Where Michigan sits
The same service costs 2.1 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· 14th of 51
$7.94
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.