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 $1.78 Median $1.78 Typical High $1.86 | Facility | None | $1.78 | $1.78 | $1.86 |
Aetna Setting Professional Modifier None Typical Low $1.78 Median $1.86 Typical High $1.86 | Professional | None | $1.78 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.27 Median $0.28 Typical High $0.28 | Professional | 55 · Aftercare only | $0.27 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.18 Median $0.19 Typical High $0.19 | Professional | 56 · Pre-op care only | $0.18 | $0.19 | $0.19 |
BCBS Michigan Setting Facility Modifier None Typical Low $2.40 Median $5.75 Typical High $11.22 | Facility | None | $2.40 | $5.75 | $11.22 |
BCBS Michigan Setting Professional Modifier None Typical Low $1.91 Median $2.00 Typical High $2.00 | Professional | None | $1.91 | $2.00 | $2.00 |
Cigna Setting Professional Modifier None Typical Low $1.02 Median $1.26 Typical High $1.26 | Professional | None | $1.02 | $1.26 | $1.26 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1.55 Median $4.27 Typical High $7.59 | Facility | None | $1.55 | $4.27 | $7.59 |
Health Alliance Plan Setting Professional Modifier None Typical Low $1.45 Median $1.51 Typical High $1.95 | Professional | None | $1.45 | $1.51 | $1.95 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.23 Median $0.23 Typical High $0.23 | Professional | 55 · Aftercare only | $0.23 | $0.23 | $0.23 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | 56 · Pre-op care only | $0.15 | $0.15 | $0.15 |
Priority Health Setting Professional Modifier None Typical Low $1.02 Median $1.26 Typical High $1.26 | Professional | None | $1.02 | $1.26 | $1.26 |
United Setting Professional Modifier None Typical Low $0.71 Median $0.93 Typical High $1.20 | Professional | None | $0.71 | $0.93 | $1.20 |
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 $2.00 Median $2.00 Typical High $2.00 | Professional | RR · Rental | $2.00 | $2.00 | $2.00 |
Where Michigan sits
The same service costs 3.1 times more in Hawaii than in Utah. 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
$1.70
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.