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 $10.47 Median $10.47 Typical High $10.96 | Facility | None | $10.47 | $10.47 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.96 Typical High $10.96 | Professional | None | $10.47 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.37 Typical High $5.37 | Professional | 52 · Reduced service | $5.25 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.19 Typical High $2.19 | Professional | 53 · Discontinued | $2.09 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.55 Median $1.62 Typical High $1.62 | Professional | 55 · Aftercare only | $1.55 | $1.62 | $1.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.05 Median $1.07 Typical High $1.07 | Professional | 56 · Pre-op care only | $1.05 | $1.07 | $1.07 |
BCBS Michigan Setting Facility Modifier None Typical Low $13.80 Median $33.88 Typical High $64.57 | Facility | None | $13.80 | $33.88 | $64.57 |
BCBS Michigan Setting Professional Modifier None Typical Low $10.96 Median $11.48 Typical High $11.48 | Professional | None | $10.96 | $11.48 | $11.48 |
CareSource Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $8.13 | Professional | None | $5.37 | $5.37 | $8.13 |
Health Alliance Plan Setting Facility Modifier None Typical Low $8.71 Median $22.39 Typical High $24.55 | Facility | None | $8.71 | $22.39 | $24.55 |
Health Alliance Plan Setting Professional Modifier None Typical Low $7.76 Median $9.12 Typical High $11.75 | Professional | None | $7.76 | $9.12 | $11.75 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 52 · Reduced service | $4.37 | $4.37 | $4.37 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | 53 · Discontinued | $1.78 | $1.78 | $1.78 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | 55 · Aftercare only | $1.32 | $1.32 | $1.32 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.87 Median $0.87 Typical High $0.87 | Professional | 56 · Pre-op care only | $0.87 | $0.87 | $0.87 |
Priority Health Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Priority Health Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $8.71 | Professional | None | $5.37 | $5.37 | $8.71 |
United Setting Professional Modifier None Typical Low $4.07 Median $5.37 Typical High $7.59 | Professional | None | $4.07 | $5.37 | $7.59 |
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 $11.48 Median $11.48 Typical High $11.48 | Professional | RR · Rental | $11.48 | $11.48 | $11.48 |
Where Michigan sits
The same service costs 2.1 times more in Idaho than in Connecticut. 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
$9.77
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.