How much rates vary
Facilitymedian $178 · 10th to 90th $178 to $363Professionalmedian $214 · 10th to 90th $27 to $275
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $239.88 Median $239.88 Typical High $257.04 | Facility | None | $239.88 | $239.88 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $245.47 Typical High $501.19 | Professional | None | $123.03 | $245.47 | $501.19 |
Aetna Setting Professional Modifier RR · Rental Typical Low $13.18 Median $45.71 Typical High $56.23 | Professional | RR · Rental | $13.18 | $45.71 | $56.23 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $131.83 Median $181.97 Typical High $380.19 | Professional | UE · Used equipment | $131.83 | $181.97 | $380.19 |
BCBS Michigan Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
BCBS Michigan Setting Professional Modifier None Typical Low $204.17 Median $275.42 Typical High $275.42 | Professional | None | $204.17 | $275.42 | $275.42 |
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | RR · Rental | $20.89 | $20.89 | $20.89 |
BCBS Michigan Setting Professional Modifier UE · Used equipment Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | UE · Used equipment | $204.17 | $204.17 | $204.17 |
CareSource Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $218.78 | Facility | None | $16.60 | $16.60 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $275.42 | Professional | None | $151.36 | $177.83 | $275.42 |
Cigna Setting Professional Modifier RR · Rental Typical Low $15.14 Median $17.78 Typical High $27.54 | Professional | RR · Rental | $15.14 | $17.78 | $27.54 |
Health Alliance Plan Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $398.11 | Facility | None | $223.87 | $363.08 | $398.11 |
Health Alliance Plan Setting Professional Modifier None Typical Low $21.38 Median $213.80 Typical High $269.15 | Professional | None | $21.38 | $213.80 | $269.15 |
Health Alliance Plan Setting Professional Modifier RR · Rental Typical Low $13.49 Median $21.38 Typical High $26.92 | Professional | RR · Rental | $13.49 | $21.38 | $26.92 |
Health Alliance Plan Setting Professional Modifier UE · Used equipment Typical Low $102.33 Median $165.96 Typical High $199.53 | Professional | UE · Used equipment | $102.33 | $165.96 | $199.53 |
Priority Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Priority Health Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $275.42 | Professional | None | $151.36 | $177.83 | $275.42 |
Priority Health Setting Professional Modifier RR · Rental Typical Low $17.78 Median $17.78 Typical High $27.54 | Professional | RR · Rental | $17.78 | $17.78 | $27.54 |
United Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $213.80 | Professional | None | $91.20 | $138.04 | $213.80 |
United Setting Professional Modifier RR · Rental Typical Low $11.22 Median $17.78 Typical High $27.54 | Professional | RR · Rental | $11.22 | $17.78 | $27.54 |
United Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $102.33 Typical High $162.18 | Professional | UE · Used equipment | $69.18 | $102.33 | $162.18 |
8 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $120.23 Typical High $123.03 | Professional | 52 · Reduced service | $30.20 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $47.86 Typical High $48.98 | Professional | 53 · Discontinued | $12.02 | $47.86 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $36.31 Typical High $37.15 | Professional | 55 · Aftercare only | $8.91 | $36.31 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $23.99 Typical High $24.55 | Professional | 56 · Pre-op care only | $5.01 | $23.99 | $24.55 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $112.20 | $112.20 | $112.20 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $44.67 | $44.67 | $44.67 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $33.11 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $22.39 |
Where Michigan sits
The same service costs 22.4 times more in Kansas than in Illinois. 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· 11th of 51
$214
KS $447IL $19.95
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.