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 $7.24 Median $7.24 Typical High $7.59 | Facility | None | $7.24 | $7.24 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.59 Typical High $7.59 | Professional | None | $7.08 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.07 Median $1.12 Typical High $1.12 | Professional | 55 · Aftercare only | $1.07 | $1.12 | $1.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.72 Median $0.76 Typical High $0.76 | Professional | 56 · Pre-op care only | $0.72 | $0.76 | $0.76 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $9.55 Median $23.44 Typical High $44.67 | Facility | None | $9.55 | $23.44 | $44.67 |
BCBS Michigan Setting Professional Modifier None Typical Low $7.59 Median $7.94 Typical High $7.94 | Professional | None | $7.59 | $7.94 | $7.94 |
CareSource Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
CareSource Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $11.22 | Professional | None | $7.94 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $5.13 | Facility | None | $4.79 | $4.79 | $5.13 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $5.13 | Professional | None | $4.07 | $4.07 | $5.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $4.90 Median $6.17 Typical High $16.98 | Facility | None | $4.90 | $6.17 | $16.98 |
Health Alliance Plan Setting Professional Modifier None Typical Low $5.01 Median $6.03 Typical High $8.13 | Professional | None | $5.01 | $6.03 | $8.13 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.91 Median $0.91 Typical High $0.91 | Professional | 55 · Aftercare only | $0.91 | $0.91 | $0.91 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | 56 · Pre-op care only | $0.62 | $0.62 | $0.62 |
Priority Health Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $5.13 | Facility | None | $4.79 | $4.79 | $5.13 |
Priority Health Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $6.03 | Professional | None | $4.07 | $4.07 | $6.03 |
United Setting Professional Modifier None Typical Low $2.82 Median $3.80 Typical High $5.37 | Professional | None | $2.82 | $3.80 | $5.37 |
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 $7.94 Median $7.94 Typical High $7.94 | Professional | RR · Rental | $7.94 | $7.94 | $7.94 |
Where Michigan sits
The same service costs 2.3 times more in Kansas than in Utah. 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
$7.24
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.