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 $97.72 Median $97.72 Typical High $102.33 | Facility | None | $97.72 | $97.72 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $102.33 Typical High $102.33 | Professional | None | $97.72 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $48.98 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $19.50 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $14.45 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $10.23 Typical High $10.23 | Professional | 56 · Pre-op care only | $9.77 | $10.23 | $10.23 |
BCBS Michigan Setting Facility Modifier None Typical Low $131.83 Median $316.23 Typical High $602.56 | Facility | None | $131.83 | $316.23 | $602.56 |
BCBS Michigan Setting Professional Modifier None Typical Low $102.33 Median $107.15 Typical High $107.15 | Professional | None | $102.33 | $107.15 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $53.70 Typical High $75.86 | Professional | None | $44.67 | $53.70 | $75.86 |
Health Alliance Plan Setting Facility Modifier None Typical Low $83.18 Median $208.93 Typical High $229.09 | Facility | None | $83.18 | $208.93 | $229.09 |
Health Alliance Plan Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $109.65 | Professional | None | $72.44 | $85.11 | $109.65 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $40.74 | $40.74 | $40.74 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $12.30 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $8.32 |
Priority Health Setting Professional Modifier None Typical Low $44.67 Median $53.70 Typical High $89.13 | Professional | None | $44.67 | $53.70 | $89.13 |
United Setting Professional Modifier None Typical Low $38.02 Median $51.29 Typical High $77.62 | Professional | None | $38.02 | $51.29 | $77.62 |
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 $107.15 Median $107.15 Typical High $107.15 | Professional | RR · Rental | $107.15 | $107.15 | $107.15 |
Where Michigan sits
The same service costs 2.5 times more in Idaho than in Colorado. 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· 12th of 51
$97.72
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.