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 $2.09 Median $2.09 Typical High $2.19 | Facility | None | $2.09 | $2.09 | $2.19 |
Aetna Setting Professional Modifier None Typical Low $2.09 Median $2.19 Typical High $2.19 | Professional | None | $2.09 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.32 Median $0.33 Typical High $0.33 | Professional | 55 · Aftercare only | $0.32 | $0.33 | $0.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.22 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.21 | $0.22 | $0.22 |
BCBS Michigan Setting Facility Modifier None Typical Low $2.82 Median $6.92 Typical High $13.18 | Facility | None | $2.82 | $6.92 | $13.18 |
BCBS Michigan Setting Professional Modifier None Typical Low $2.24 Median $2.34 Typical High $2.34 | Professional | None | $2.24 | $2.34 | $2.34 |
CareSource Setting Facility Modifier None Typical Low $1.35 Median $1.35 Typical High $1.35 | Facility | None | $1.35 | $1.35 | $1.35 |
Cigna Setting Facility Modifier None Typical Low $1.41 Median $1.41 Typical High $1.51 | Facility | None | $1.41 | $1.41 | $1.51 |
Cigna Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.62 | Professional | None | $1.12 | $1.12 | $1.62 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.98 Median $1.82 Typical High $5.01 | Facility | None | $0.98 | $1.82 | $5.01 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1.48 Median $1.78 Typical High $2.40 | Professional | None | $1.48 | $1.78 | $2.40 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.27 Median $0.27 Typical High $0.27 | Professional | 55 · Aftercare only | $0.27 | $0.27 | $0.27 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | 56 · Pre-op care only | $0.18 | $0.18 | $0.18 |
Priority Health Setting Facility Modifier None Typical Low $1.41 Median $1.41 Typical High $1.51 | Facility | None | $1.41 | $1.41 | $1.51 |
Priority Health Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.74 | Professional | None | $1.12 | $1.12 | $1.74 |
United Setting Professional Modifier None Typical Low $0.83 Median $1.10 Typical High $1.55 | Professional | None | $0.83 | $1.10 | $1.55 |
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 $2.34 Median $2.34 Typical High $2.34 | Professional | RR · Rental | $2.34 | $2.34 | $2.34 |
Where Michigan sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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· 11th of 51
$2.00
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.