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 $2.00 Median $2.00 Typical High $2.09 | Facility | None | $2.00 | $2.00 | $2.09 |
Aetna Setting Professional Modifier None Typical Low $1.95 Median $2.09 Typical High $2.09 | Professional | None | $1.95 | $2.09 | $2.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.30 Median $0.32 Typical High $0.32 | Professional | 55 · Aftercare only | $0.30 | $0.32 | $0.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.21 Typical High $0.21 | Professional | 56 · Pre-op care only | $0.20 | $0.21 | $0.21 |
Ambetter Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
BCBS Michigan Setting Facility Modifier None Typical Low $2.69 Median $6.61 Typical High $12.59 | Facility | None | $2.69 | $6.61 | $12.59 |
BCBS Michigan Setting Professional Modifier None Typical Low $2.14 Median $2.24 Typical High $2.24 | Professional | None | $2.14 | $2.24 | $2.24 |
CareSource Setting Facility Modifier None Typical Low $1.23 Median $1.23 Typical High $1.23 | Facility | None | $1.23 | $1.23 | $1.23 |
Cigna Setting Facility Modifier None Typical Low $0.72 Median $1.35 Typical High $1.35 | Facility | None | $0.72 | $1.35 | $1.35 |
Cigna Setting Professional Modifier None Typical Low $0.30 Median $0.30 Typical High $1.35 | Professional | None | $0.30 | $0.30 | $1.35 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1.74 Median $2.09 Typical High $4.79 | Facility | None | $1.74 | $2.09 | $4.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1.41 Median $1.70 Typical High $2.29 | Professional | None | $1.41 | $1.70 | $2.29 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.26 Median $0.26 Typical High $0.26 | Professional | 55 · Aftercare only | $0.26 | $0.26 | $0.26 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | 56 · Pre-op care only | $0.17 | $0.17 | $0.17 |
Priority Health Setting Facility Modifier None Typical Low $0.72 Median $1.35 Typical High $1.35 | Facility | None | $0.72 | $1.35 | $1.35 |
Priority Health Setting Professional Modifier None Typical Low $0.30 Median $0.30 Typical High $1.51 | Professional | None | $0.30 | $0.30 | $1.51 |
United Setting Professional Modifier None Typical Low $0.79 Median $1.05 Typical High $1.48 | Professional | None | $0.79 | $1.05 | $1.48 |
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 $2.24 Median $2.24 Typical High $2.24 | Professional | RR · Rental | $2.24 | $2.24 | $2.24 |
Where Michigan sits
The same service costs 5.8 times more in Hawaii than in Rhode Island. 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
$1.86
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.