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 $0.27 Median $0.27 Typical High $0.27 | Facility | None | $0.27 | $0.27 | $0.27 |
Aetna Setting Professional Modifier None Typical Low $0.27 Median $0.30 Typical High $0.30 | Professional | None | $0.27 | $0.30 | $0.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.04 Median $0.05 Typical High $0.05 | Professional | 55 · Aftercare only | $0.04 | $0.05 | $0.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.03 |
Aetna Setting Professional Modifier AW · With surgical dressing Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | AW · With surgical dressing | $0.15 | $0.15 | $0.15 |
Ambetter Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
BCBS Michigan Setting Facility Modifier None Typical Low $0.58 Median $1.41 Typical High $2.75 | Facility | None | $0.58 | $1.41 | $2.75 |
BCBS Michigan Setting Professional Modifier None Typical Low $0.47 Median $0.49 Typical High $0.49 | Professional | None | $0.47 | $0.49 | $0.49 |
CareSource Setting Professional Modifier None Typical Low $0.28 Median $0.39 Typical High $0.39 | Professional | None | $0.28 | $0.39 | $0.39 |
Cigna Setting Professional Modifier None Typical Low $0.26 Median $0.26 Typical High $0.42 | Professional | None | $0.26 | $0.26 | $0.42 |
Health Alliance Plan Setting Facility Modifier None Typical Low $0.25 Median $0.89 Typical High $0.98 | Facility | None | $0.25 | $0.89 | $0.98 |
Health Alliance Plan Setting Professional Modifier None Typical Low $0.25 Median $0.33 Typical High $0.43 | Professional | None | $0.25 | $0.33 | $0.43 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 55 · Aftercare only | $0.04 | $0.04 | $0.04 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.03 |
Health Alliance Plan Setting Professional Modifier AW · With surgical dressing Typical Low $0.15 Median $0.40 Typical High $0.52 | Professional | AW · With surgical dressing | $0.15 | $0.40 | $0.52 |
Priority Health Setting Professional Modifier None Typical Low $0.26 Median $0.26 Typical High $0.38 | Professional | None | $0.26 | $0.26 | $0.38 |
United Setting Professional Modifier None Typical Low $0.19 Median $0.26 Typical High $0.34 | Professional | None | $0.19 | $0.26 | $0.34 |
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 $0.49 Median $0.49 Typical High $0.49 | Professional | RR · Rental | $0.49 | $0.49 | $0.49 |
Where Michigan sits
The same service costs 2.5 times more in Montana 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· 23rd of 51
$0.30
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.