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 $12.30 Median $12.30 Typical High $12.88 | Facility | None | $12.30 | $12.30 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.88 Typical High $12.88 | Professional | None | $12.30 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.86 Median $1.95 Typical High $1.95 | Professional | 55 · Aftercare only | $1.86 | $1.95 | $1.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.29 Typical High $1.29 | Professional | 56 · Pre-op care only | $1.23 | $1.29 | $1.29 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
BCBS Michigan Setting Facility Modifier None Typical Low $16.60 Median $40.74 Typical High $77.62 | Facility | None | $16.60 | $40.74 | $77.62 |
BCBS Michigan Setting Professional Modifier None Typical Low $13.18 Median $13.80 Typical High $13.80 | Professional | None | $13.18 | $13.80 | $13.80 |
CareSource Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $8.91 | Professional | None | $6.61 | $6.61 | $8.91 |
Health Alliance Plan Setting Facility Modifier None Typical Low $8.51 Median $10.72 Typical High $29.51 | Facility | None | $8.51 | $10.72 | $29.51 |
Health Alliance Plan Setting Professional Modifier None Typical Low $8.91 Median $10.72 Typical High $14.13 | Professional | None | $8.91 | $10.72 | $14.13 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | 55 · Aftercare only | $1.58 | $1.58 | $1.58 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | 56 · Pre-op care only | $1.05 | $1.05 | $1.05 |
Priority Health Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Priority Health Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $10.23 | Professional | None | $6.61 | $6.61 | $10.23 |
United Setting Professional Modifier None Typical Low $4.90 Median $6.46 Typical High $9.12 | Professional | None | $4.90 | $6.46 | $9.12 |
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 $13.80 Median $13.80 Typical High $13.80 | Professional | RR · Rental | $13.80 | $13.80 | $13.80 |
Where Michigan sits
The same service costs 2.1 times more in Idaho than in Delaware. 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· 12th of 51
$11.75
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.