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 $3.98 Median $3.98 Typical High $4.17 | Facility | None | $3.98 | $3.98 | $4.17 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $4.17 Typical High $4.17 | Professional | None | $3.98 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.60 Median $0.63 Typical High $0.63 | Professional | 55 · Aftercare only | $0.60 | $0.63 | $0.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.40 Median $0.42 Typical High $0.42 | Professional | 56 · Pre-op care only | $0.40 | $0.42 | $0.42 |
BCBS Michigan Setting Facility Modifier None Typical Low $5.37 Median $13.18 Typical High $24.55 | Facility | None | $5.37 | $13.18 | $24.55 |
BCBS Michigan Setting Professional Modifier None Typical Low $4.27 Median $4.47 Typical High $4.47 | Professional | None | $4.27 | $4.47 | $4.47 |
CareSource Setting Facility Modifier None Typical Low $2.88 Median $2.88 Typical High $2.88 | Facility | None | $2.88 | $2.88 | $2.88 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $2.69 Typical High $2.88 | Facility | None | $2.69 | $2.69 | $2.88 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.40 Typical High $3.09 | Professional | None | $2.29 | $2.40 | $3.09 |
Health Alliance Plan Setting Facility Modifier None Typical Low $3.09 Median $3.47 Typical High $9.33 | Facility | None | $3.09 | $3.47 | $9.33 |
Health Alliance Plan Setting Professional Modifier None Typical Low $3.02 Median $3.55 Typical High $4.57 | Professional | None | $3.02 | $3.55 | $4.57 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.51 Median $0.51 Typical High $0.51 | Professional | 55 · Aftercare only | $0.51 | $0.51 | $0.51 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.34 Median $0.34 Typical High $0.34 | Professional | 56 · Pre-op care only | $0.34 | $0.34 | $0.34 |
Priority Health Setting Facility Modifier None Typical Low $2.69 Median $2.69 Typical High $2.88 | Facility | None | $2.69 | $2.69 | $2.88 |
Priority Health Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $3.39 | Professional | None | $2.40 | $2.40 | $3.39 |
United Setting Professional Modifier None Typical Low $1.58 Median $2.09 Typical High $2.95 | Professional | None | $1.58 | $2.09 | $2.95 |
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 $4.47 Median $4.47 Typical High $4.47 | Professional | RR · Rental | $4.47 | $4.47 | $4.47 |
Where Michigan sits
The same service costs 2.3 times more in Hawaii 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· 13th of 51
$3.72
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.