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 $8.71 Median $8.71 Typical High $9.12 | Facility | None | $8.71 | $8.71 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $9.12 Typical High $9.12 | Professional | None | $8.71 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.57 Typical High $4.57 | Professional | 52 · Reduced service | $4.37 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.82 Typical High $1.82 | Professional | 53 · Discontinued | $1.74 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.32 Median $1.38 Typical High $1.38 | Professional | 55 · Aftercare only | $1.32 | $1.38 | $1.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.87 Median $0.91 Typical High $0.91 | Professional | 56 · Pre-op care only | $0.87 | $0.91 | $0.91 |
BCBS Michigan Setting Facility Modifier None Typical Low $11.75 Median $28.84 Typical High $53.70 | Facility | None | $11.75 | $28.84 | $53.70 |
BCBS Michigan Setting Professional Modifier None Typical Low $9.12 Median $9.77 Typical High $9.77 | Professional | None | $9.12 | $9.77 | $9.77 |
CareSource Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $6.17 | Facility | None | $5.75 | $5.75 | $6.17 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $5.13 Typical High $6.61 | Professional | None | $4.90 | $5.13 | $6.61 |
Health Alliance Plan Setting Facility Modifier None Typical Low $7.41 Median $19.05 Typical High $20.42 | Facility | None | $7.41 | $19.05 | $20.42 |
Health Alliance Plan Setting Professional Modifier None Typical Low $6.03 Median $7.41 Typical High $9.77 | Professional | None | $6.03 | $7.41 | $9.77 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 52 · Reduced service | $3.72 | $3.72 | $3.72 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.48 Typical High $1.48 | Professional | 53 · Discontinued | $1.48 | $1.48 | $1.48 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | 55 · Aftercare only | $1.12 | $1.12 | $1.12 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.74 Median $0.74 Typical High $0.74 | Professional | 56 · Pre-op care only | $0.74 | $0.74 | $0.74 |
Priority Health Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $6.17 | Facility | None | $5.75 | $5.75 | $6.17 |
Priority Health Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $7.24 | Professional | None | $5.13 | $5.13 | $7.24 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.57 Typical High $6.46 | Professional | None | $3.39 | $4.57 | $6.46 |
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 $9.77 Median $9.77 Typical High $9.77 | Professional | RR · Rental | $9.77 | $9.77 | $9.77 |
Where Michigan sits
The same service costs 2.5 times more in Montana than in New Hampshire. 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· 10th of 51
$8.13
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.