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 $35.48 Median $35.48 Typical High $37.15 | Facility | None | $35.48 | $35.48 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $37.15 | Professional | None | $35.48 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.50 Typical High $5.50 | Professional | 55 · Aftercare only | $5.37 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.72 Typical High $3.72 | Professional | 56 · Pre-op care only | $3.55 | $3.72 | $3.72 |
BCBS Michigan Setting Facility Modifier None Typical Low $47.86 Median $117.49 Typical High $218.78 | Facility | None | $47.86 | $117.49 | $218.78 |
BCBS Michigan Setting Professional Modifier None Typical Low $37.15 Median $39.81 Typical High $39.81 | Professional | None | $37.15 | $39.81 | $39.81 |
CareSource Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $24.55 Typical High $26.30 | Professional | None | $16.22 | $24.55 | $26.30 |
Health Alliance Plan Setting Facility Modifier None Typical Low $30.20 Median $77.62 Typical High $83.18 | Facility | None | $30.20 | $77.62 | $83.18 |
Health Alliance Plan Setting Professional Modifier None Typical Low $26.92 Median $31.62 Typical High $39.81 | Professional | None | $26.92 | $31.62 | $39.81 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $4.47 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | 56 · Pre-op care only | $3.02 | $3.02 | $3.02 |
Priority Health Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Priority Health Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $27.54 | Professional | None | $22.39 | $24.55 | $27.54 |
United Setting Professional Modifier None Typical Low $13.80 Median $18.62 Typical High $26.30 | Professional | None | $13.80 | $18.62 | $26.30 |
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 $39.81 Median $39.81 Typical High $39.81 | Professional | RR · Rental | $39.81 | $39.81 | $39.81 |
Where Michigan sits
The same service costs 3.0 times more in Hawaii than in Kansas. 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
$33.11
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.