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 $10.96 Median $10.96 Typical High $11.48 | Facility | None | $10.96 | $10.96 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $11.48 Typical High $11.48 | Professional | None | $10.96 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $1.74 Typical High $1.74 | Professional | 55 · Aftercare only | $1.66 | $1.74 | $1.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.15 Typical High $1.15 | Professional | 56 · Pre-op care only | $1.10 | $1.15 | $1.15 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $12.59 Typical High $12.59 | Professional | None | $9.33 | $12.59 | $12.59 |
BCBS Michigan Setting Facility Modifier None Typical Low $14.79 Median $36.31 Typical High $69.18 | Facility | None | $14.79 | $36.31 | $69.18 |
BCBS Michigan Setting Professional Modifier None Typical Low $11.75 Median $12.30 Typical High $12.30 | Professional | None | $11.75 | $12.30 | $12.30 |
CareSource Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
CareSource Setting Professional Modifier None Typical Low $12.30 Median $16.98 Typical High $17.38 | Professional | None | $12.30 | $16.98 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.76 | Facility | None | $7.41 | $7.41 | $7.76 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $7.94 | Professional | None | $5.75 | $5.75 | $7.94 |
Health Alliance Plan Setting Facility Modifier None Typical Low $8.51 Median $9.55 Typical High $26.30 | Facility | None | $8.51 | $9.55 | $26.30 |
Health Alliance Plan Setting Professional Modifier None Typical Low $7.76 Median $9.33 Typical High $12.59 | Professional | None | $7.76 | $9.33 | $12.59 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | 55 · Aftercare only | $1.41 | $1.41 | $1.41 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.93 Median $0.93 Typical High $0.93 | Professional | 56 · Pre-op care only | $0.93 | $0.93 | $0.93 |
Priority Health Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.76 | Facility | None | $7.41 | $7.41 | $7.76 |
Priority Health Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $9.12 | Professional | None | $5.75 | $5.75 | $9.12 |
United Setting Professional Modifier None Typical Low $4.37 Median $5.75 Typical High $8.13 | Professional | None | $4.37 | $5.75 | $8.13 |
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 $12.30 Median $12.30 Typical High $12.30 | Professional | RR · Rental | $12.30 | $12.30 | $12.30 |
Where Michigan sits
The same service costs 2.0 times more in Montana than in Florida. 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· 10th of 51
$10.96
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.