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 $15.14 Median $15.14 Typical High $15.49 | Facility | None | $15.14 | $15.14 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $15.49 | Professional | None | $12.02 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.34 Typical High $2.34 | Professional | 55 · Aftercare only | $2.04 | $2.34 | $2.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.38 Median $1.55 Typical High $1.55 | Professional | 56 · Pre-op care only | $1.38 | $1.55 | $1.55 |
BCBS Michigan Setting Facility Modifier None Typical Low $19.95 Median $48.98 Typical High $93.33 | Facility | None | $19.95 | $48.98 | $93.33 |
BCBS Michigan Setting Professional Modifier None Typical Low $15.85 Median $16.60 Typical High $16.60 | Professional | None | $15.85 | $16.60 | $16.60 |
CareSource Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $9.55 Typical High $10.00 | Professional | None | $8.51 | $9.55 | $10.00 |
Health Alliance Plan Setting Facility Modifier None Typical Low $12.59 Median $32.36 Typical High $35.48 | Facility | None | $12.59 | $32.36 | $35.48 |
Health Alliance Plan Setting Professional Modifier None Typical Low $10.72 Median $13.18 Typical High $16.98 | Professional | None | $10.72 | $13.18 | $16.98 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | 55 · Aftercare only | $1.91 | $1.91 | $1.91 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | 56 · Pre-op care only | $1.26 | $1.26 | $1.26 |
Priority Health Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Priority Health Setting Professional Modifier None Typical Low $8.91 Median $9.55 Typical High $11.48 | Professional | None | $8.91 | $9.55 | $11.48 |
United Setting Professional Modifier None Typical Low $5.89 Median $7.76 Typical High $10.96 | Professional | None | $5.89 | $7.76 | $10.96 |
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 $16.60 Median $16.60 Typical High $16.60 | Professional | RR · Rental | $16.60 | $16.60 | $16.60 |
Where Michigan sits
The same service costs 2.3 times more in Montana 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· 9th of 51
$14.13
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.