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 $14.13 Median $14.13 Typical High $14.79 | Facility | None | $14.13 | $14.13 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.79 Typical High $14.79 | Professional | None | $14.13 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.14 Median $2.24 Typical High $2.24 | Professional | 55 · Aftercare only | $2.14 | $2.24 | $2.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.41 Median $1.48 Typical High $1.48 | Professional | 56 · Pre-op care only | $1.41 | $1.48 | $1.48 |
BCBS Michigan Setting Facility Modifier None Typical Low $19.05 Median $46.77 Typical High $89.13 | Facility | None | $19.05 | $46.77 | $89.13 |
BCBS Michigan Setting Professional Modifier None Typical Low $15.14 Median $15.85 Typical High $15.85 | Professional | None | $15.14 | $15.85 | $15.85 |
CareSource Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $9.55 Typical High $9.55 | Facility | None | $8.13 | $9.55 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $9.55 | Professional | None | $8.13 | $8.13 | $9.55 |
Health Alliance Plan Setting Facility Modifier None Typical Low $12.02 Median $30.90 Typical High $33.88 | Facility | None | $12.02 | $30.90 | $33.88 |
Health Alliance Plan Setting Professional Modifier None Typical Low $10.23 Median $12.59 Typical High $16.22 | Professional | None | $10.23 | $12.59 | $16.22 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | 55 · Aftercare only | $1.82 | $1.82 | $1.82 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | 56 · Pre-op care only | $1.20 | $1.20 | $1.20 |
Priority Health Setting Facility Modifier None Typical Low $8.13 Median $9.55 Typical High $9.55 | Facility | None | $8.13 | $9.55 | $9.55 |
Priority Health Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $11.22 | Professional | None | $8.13 | $8.13 | $11.22 |
United Setting Professional Modifier None Typical Low $5.62 Median $7.41 Typical High $10.47 | Professional | None | $5.62 | $7.41 | $10.47 |
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 $15.85 Median $15.85 Typical High $15.85 | Professional | RR · Rental | $15.85 | $15.85 | $15.85 |
Where Michigan sits
The same service costs 2.2 times more in Kansas 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· 14th of 51
$13.49
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.