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 $5.25 Median $5.25 Typical High $5.50 | Facility | None | $5.25 | $5.25 | $5.50 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $5.50 Typical High $5.50 | Professional | None | $5.25 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.79 Median $0.83 Typical High $0.83 | Professional | 55 · Aftercare only | $0.79 | $0.83 | $0.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.52 Median $0.55 Typical High $0.55 | Professional | 56 · Pre-op care only | $0.52 | $0.55 | $0.55 |
BCBS Setting Facility Modifier None Typical Low $7.08 Median $17.38 Typical High $33.11 | Facility | None | $7.08 | $17.38 | $33.11 |
BCBS Setting Professional Modifier None Typical Low $5.62 Median $5.89 Typical High $5.89 | Professional | None | $5.62 | $5.89 | $5.89 |
CareSource Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | None | $3.80 | $3.80 | $3.80 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | None | $3.80 | $3.80 | $3.80 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.24 Typical High $3.80 | Professional | None | $2.45 | $3.24 | $3.80 |
Health Alliance Plan Setting Facility Modifier None Typical Low $4.47 Median $11.48 Typical High $12.30 | Facility | None | $4.47 | $11.48 | $12.30 |
Health Alliance Plan Setting Professional Modifier None Typical Low $3.98 Median $4.68 Typical High $6.03 | Professional | None | $3.98 | $4.68 | $6.03 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | 55 · Aftercare only | $0.68 | $0.68 | $0.68 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.45 Median $0.45 Typical High $0.45 | Professional | 56 · Pre-op care only | $0.45 | $0.45 | $0.45 |
Priority Health Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | None | $3.80 | $3.80 | $3.80 |
Priority Health Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $4.17 | Professional | None | $3.24 | $3.24 | $4.17 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.75 Typical High $3.89 | Professional | None | $2.04 | $2.75 | $3.89 |
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 Setting Professional Modifier RR · Rental Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | RR · Rental | $5.89 | $5.89 | $5.89 |
Where Michigan sits
The same service costs 3.2 times more in Kansas 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· 13th of 51
$4.90
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.