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 $2.04 Median $2.04 Typical High $2.04 | Facility | None | $2.04 | $2.04 | $2.04 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | None | $2.04 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.30 Median $0.30 Typical High $0.30 | Professional | 55 · Aftercare only | $0.30 | $0.30 | $0.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | 56 · Pre-op care only | $0.20 | $0.20 | $0.20 |
BCBS Michigan Setting Facility Modifier None Typical Low $69.18 Median $165.96 Typical High $309.03 | Facility | None | $69.18 | $165.96 | $309.03 |
BCBS Michigan Setting Professional Modifier None Typical Low $54.95 Median $58.88 Typical High $58.88 | Professional | None | $54.95 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $257.04 | Professional | None | $93.33 | $93.33 | $257.04 |
Health Alliance Plan Setting Facility Modifier None Typical Low $2.04 Median $70.79 Typical High $77.62 | Facility | None | $2.04 | $70.79 | $77.62 |
Health Alliance Plan Setting Professional Modifier None Typical Low $2.04 Median $26.30 Typical High $34.67 | Professional | None | $2.04 | $26.30 | $34.67 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $0.30 Median $0.30 Typical High $0.30 | Professional | 55 · Aftercare only | $0.30 | $0.30 | $0.30 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | 56 · Pre-op care only | $0.20 | $0.20 | $0.20 |
Priority Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $229.09 | Professional | None | $93.33 | $93.33 | $229.09 |
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 $58.88 Median $58.88 Typical High $58.88 | Professional | RR · Rental | $58.88 | $58.88 | $58.88 |
Where Michigan sits
The same service costs 512.9 times more in North Carolina than in South Carolina. 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· 35th of 51
$26.30
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.