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 $7.59 Median $7.59 Typical High $7.94 | Facility | None | $7.59 | $7.59 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.94 Typical High $7.94 | Professional | None | $7.59 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.17 Typical High $1.17 | Professional | 55 · Aftercare only | $1.12 | $1.17 | $1.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.76 Median $0.79 Typical High $0.79 | Professional | 56 · Pre-op care only | $0.76 | $0.79 | $0.79 |
BCBS Michigan Setting Facility Modifier None Typical Low $10.00 Median $24.55 Typical High $46.77 | Facility | None | $10.00 | $24.55 | $46.77 |
BCBS Michigan Setting Professional Modifier None Typical Low $7.94 Median $8.32 Typical High $8.32 | Professional | None | $7.94 | $8.32 | $8.32 |
CareSource Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.37 | Facility | None | $5.01 | $5.01 | $5.37 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $5.37 | Professional | None | $3.98 | $3.98 | $5.37 |
Health Alliance Plan Setting Facility Modifier None Typical Low $5.50 Median $6.46 Typical High $17.78 | Facility | None | $5.50 | $6.46 | $17.78 |
Health Alliance Plan Setting Professional Modifier None Typical Low $5.50 Median $6.61 Typical High $8.51 | Professional | None | $5.50 | $6.61 | $8.51 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.95 Median $0.95 Typical High $0.95 | Professional | 55 · Aftercare only | $0.95 | $0.95 | $0.95 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | 56 · Pre-op care only | $0.65 | $0.65 | $0.65 |
Priority Health Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.37 | Facility | None | $5.01 | $5.01 | $5.37 |
Priority Health Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $6.92 | Professional | None | $3.98 | $3.98 | $6.92 |
United Setting Professional Modifier None Typical Low $2.95 Median $3.89 Typical High $5.62 | Professional | None | $2.95 | $3.89 | $5.62 |
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 $8.32 Median $8.32 Typical High $8.32 | Professional | RR · Rental | $8.32 | $8.32 | $8.32 |
Where Michigan sits
The same service costs 2.1 times more in Hawaii 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· 13th of 51
$7.08
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.