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 $6.17 Median $6.17 Typical High $6.46 | Facility | None | $6.17 | $6.17 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.46 Typical High $6.46 | Professional | None | $6.17 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.93 Median $0.98 Typical High $0.98 | Professional | 55 · Aftercare only | $0.93 | $0.98 | $0.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.62 Median $0.65 Typical High $0.65 | Professional | 56 · Pre-op care only | $0.62 | $0.65 | $0.65 |
Ambetter Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $7.08 | Professional | None | $5.25 | $5.25 | $7.08 |
BCBS Michigan Setting Facility Modifier None Typical Low $8.32 Median $20.42 Typical High $38.02 | Facility | None | $8.32 | $20.42 | $38.02 |
BCBS Michigan Setting Professional Modifier None Typical Low $6.46 Median $6.92 Typical High $6.92 | Professional | None | $6.46 | $6.92 | $6.92 |
CareSource Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
CareSource Setting Professional Modifier None Typical Low $6.92 Median $9.55 Typical High $9.77 | Professional | None | $6.92 | $9.55 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $4.17 Typical High $4.47 | Facility | None | $4.17 | $4.17 | $4.47 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $3.80 Typical High $4.47 | Professional | None | $3.55 | $3.80 | $4.47 |
Health Alliance Plan Setting Facility Modifier None Typical Low $4.57 Median $5.37 Typical High $14.45 | Facility | None | $4.57 | $5.37 | $14.45 |
Health Alliance Plan Setting Professional Modifier None Typical Low $4.37 Median $5.25 Typical High $7.08 | Professional | None | $4.37 | $5.25 | $7.08 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.78 Median $0.78 Typical High $0.78 | Professional | 55 · Aftercare only | $0.78 | $0.78 | $0.78 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | 56 · Pre-op care only | $0.52 | $0.52 | $0.52 |
Priority Health Setting Facility Modifier None Typical Low $4.17 Median $4.17 Typical High $4.47 | Facility | None | $4.17 | $4.17 | $4.47 |
Priority Health Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $5.13 | Professional | None | $3.80 | $3.80 | $5.13 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.24 Typical High $4.57 | Professional | None | $2.45 | $3.24 | $4.57 |
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 $6.92 Median $6.92 Typical High $6.92 | Professional | RR · Rental | $6.92 | $6.92 | $6.92 |
Where Michigan sits
The same service costs 2.1 times more in Kansas than in Colorado. 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· 13th of 51
$5.75
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.