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 $7.41 Median $7.41 Typical High $7.59 | Facility | None | $7.41 | $7.41 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.76 Typical High $7.76 | Professional | None | $7.41 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $3.89 Typical High $3.89 | Professional | 52 · Reduced service | $3.72 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.55 Typical High $1.55 | Professional | 53 · Discontinued | $1.48 | $1.55 | $1.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.15 Typical High $1.15 | Professional | 55 · Aftercare only | $1.12 | $1.15 | $1.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.74 Median $0.78 Typical High $0.78 | Professional | 56 · Pre-op care only | $0.74 | $0.78 | $0.78 |
BCBS Michigan Setting Facility Modifier None Typical Low $9.77 Median $23.44 Typical High $43.65 | Facility | None | $9.77 | $23.44 | $43.65 |
BCBS Michigan Setting Professional Modifier None Typical Low $7.76 Median $8.32 Typical High $8.32 | Professional | None | $7.76 | $8.32 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.27 | Professional | None | $4.07 | $4.07 | $4.27 |
Health Alliance Plan Setting Facility Modifier None Typical Low $6.31 Median $16.22 Typical High $17.38 | Facility | None | $6.31 | $16.22 | $17.38 |
Health Alliance Plan Setting Professional Modifier None Typical Low $6.03 Median $6.31 Typical High $7.94 | Professional | None | $6.03 | $6.31 | $7.94 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | 52 · Reduced service | $3.16 | $3.16 | $3.16 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | 53 · Discontinued | $1.26 | $1.26 | $1.26 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.93 Median $0.93 Typical High $0.93 | Professional | 55 · Aftercare only | $0.93 | $0.93 | $0.93 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.63 Median $0.63 Typical High $0.63 | Professional | 56 · Pre-op care only | $0.63 | $0.63 | $0.63 |
Priority Health Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.27 | Professional | None | $4.07 | $4.07 | $4.27 |
United Setting Professional Modifier None Typical Low $2.95 Median $3.89 Typical High $5.01 | Professional | None | $2.95 | $3.89 | $5.01 |
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 $8.32 Median $8.32 Typical High $8.32 | Professional | RR · Rental | $8.32 | $8.32 | $8.32 |
Where Michigan sits
The same service costs 2.6 times more in Hawaii than in Utah. 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
$6.92
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.