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 $3.55 Median $3.55 Typical High $3.72 | Facility | None | $3.55 | $3.55 | $3.72 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.72 Typical High $3.72 | Professional | None | $3.55 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $0.56 Typical High $0.56 | Professional | 55 · Aftercare only | $0.52 | $0.56 | $0.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.36 Median $0.37 Typical High $0.37 | Professional | 56 · Pre-op care only | $0.36 | $0.37 | $0.37 |
BCBS Michigan Setting Facility Modifier None Typical Low $4.79 Median $11.75 Typical High $21.88 | Facility | None | $4.79 | $11.75 | $21.88 |
BCBS Michigan Setting Professional Modifier None Typical Low $3.72 Median $3.98 Typical High $3.98 | Professional | None | $3.72 | $3.98 | $3.98 |
CareSource Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | None | $2.82 | $2.82 | $2.82 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Facility | None | $2.57 | $2.57 | $2.57 |
Cigna Setting Professional Modifier None Typical Low $1.86 Median $1.91 Typical High $2.57 | Professional | None | $1.86 | $1.91 | $2.57 |
Health Alliance Plan Setting Facility Modifier None Typical Low $3.02 Median $7.59 Typical High $8.32 | Facility | None | $3.02 | $7.59 | $8.32 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2.75 Median $3.09 Typical High $3.98 | Professional | None | $2.75 | $3.09 | $3.98 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.45 Median $0.45 Typical High $0.45 | Professional | 55 · Aftercare only | $0.45 | $0.45 | $0.45 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.30 Median $0.30 Typical High $0.30 | Professional | 56 · Pre-op care only | $0.30 | $0.30 | $0.30 |
Priority Health Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Facility | None | $2.57 | $2.57 | $2.57 |
Priority Health Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $3.24 | Professional | None | $1.86 | $1.86 | $3.24 |
United Setting Professional Modifier None Typical Low $1.62 Median $1.95 Typical High $2.75 | Professional | None | $1.62 | $1.95 | $2.75 |
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 $3.98 Median $3.98 Typical High $3.98 | Professional | RR · Rental | $3.98 | $3.98 | $3.98 |
Where Michigan sits
The same service costs 2.5 times more in Hawaii than in Vermont. 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
$3.39
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.