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 $12.02 Median $12.02 Typical High $12.59 | Facility | None | $12.02 | $12.02 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.59 Typical High $12.59 | Professional | None | $12.02 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $1.91 Typical High $1.91 | Professional | 55 · Aftercare only | $1.82 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.26 Typical High $1.26 | Professional | 56 · Pre-op care only | $1.20 | $1.26 | $1.26 |
Ambetter Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
BCBS Michigan Setting Facility Modifier None Typical Low $16.22 Median $39.81 Typical High $74.13 | Facility | None | $16.22 | $39.81 | $74.13 |
BCBS Michigan Setting Professional Modifier None Typical Low $12.88 Median $13.49 Typical High $13.49 | Professional | None | $12.88 | $13.49 | $13.49 |
CareSource Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.51 | Facility | None | $8.13 | $8.13 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $8.51 Typical High $8.51 | Professional | None | $6.92 | $8.51 | $8.51 |
Health Alliance Plan Setting Facility Modifier None Typical Low $8.51 Median $10.47 Typical High $28.18 | Facility | None | $8.51 | $10.47 | $28.18 |
Health Alliance Plan Setting Professional Modifier None Typical Low $8.71 Median $10.72 Typical High $13.80 | Professional | None | $8.71 | $10.72 | $13.80 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 55 · Aftercare only | $1.51 | $1.51 | $1.51 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | 56 · Pre-op care only | $1.02 | $1.02 | $1.02 |
Priority Health Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.51 | Facility | None | $8.13 | $8.13 | $8.51 |
Priority Health Setting Professional Modifier None Typical Low $7.59 Median $8.51 Typical High $9.55 | Professional | None | $7.59 | $8.51 | $9.55 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.31 Typical High $8.91 | Professional | None | $4.79 | $6.31 | $8.91 |
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 $13.49 Median $13.49 Typical High $13.49 | Professional | RR · Rental | $13.49 | $13.49 | $13.49 |
Where Michigan sits
The same service costs 2.1 times more in Hawaii than in Colorado. 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· 15th of 51
$11.22
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.