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 $8.13 Median $8.13 Typical High $8.51 | Facility | None | $8.13 | $8.13 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.51 Typical High $8.51 | Professional | None | $8.13 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $4.27 Typical High $4.27 | Professional | 52 · Reduced service | $4.07 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.70 Typical High $1.70 | Professional | 53 · Discontinued | $1.62 | $1.70 | $1.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.29 Typical High $1.29 | Professional | 55 · Aftercare only | $1.23 | $1.29 | $1.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $0.85 Typical High $0.85 | Professional | 56 · Pre-op care only | $0.81 | $0.85 | $0.85 |
BCBS Michigan Setting Facility Modifier None Typical Low $10.96 Median $26.92 Typical High $51.29 | Facility | None | $10.96 | $26.92 | $51.29 |
BCBS Michigan Setting Professional Modifier None Typical Low $8.71 Median $9.12 Typical High $9.12 | Professional | None | $8.71 | $9.12 | $9.12 |
CareSource Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.75 | Facility | None | $5.50 | $5.50 | $5.75 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $5.89 | Professional | None | $4.47 | $4.47 | $5.89 |
Health Alliance Plan Setting Facility Modifier None Typical Low $6.46 Median $7.24 Typical High $19.50 | Facility | None | $6.46 | $7.24 | $19.50 |
Health Alliance Plan Setting Professional Modifier None Typical Low $6.17 Median $7.24 Typical High $9.33 | Professional | None | $6.17 | $7.24 | $9.33 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 52 · Reduced service | $3.47 | $3.47 | $3.47 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | 53 · Discontinued | $1.38 | $1.38 | $1.38 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | 55 · Aftercare only | $1.05 | $1.05 | $1.05 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.69 Median $0.69 Typical High $0.69 | Professional | 56 · Pre-op care only | $0.69 | $0.69 | $0.69 |
Priority Health Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.75 | Facility | None | $5.50 | $5.50 | $5.75 |
Priority Health Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $6.76 | Professional | None | $4.47 | $4.47 | $6.76 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.27 Typical High $6.03 | Professional | None | $3.24 | $4.27 | $6.03 |
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 $9.12 Median $9.12 Typical High $9.12 | Professional | RR · Rental | $9.12 | $9.12 | $9.12 |
Where Michigan sits
The same service costs 2.3 times more in Kansas than in Alabama. 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· 14th of 51
$7.76
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.