How much rates vary
Facilitymedian $7,762 · 10th to 90th $1,000 to $12,023Professionalmedian $676 · 10th to 90th $355 to $6,310
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 $3,090.30 Median $7,585.78 Typical High $10,232.93 | Facility | None | $3,090.30 | $7,585.78 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,235.94 Typical High $6,918.31 | Professional | None | $3,090.30 | $3,235.94 | $6,918.31 |
BCBS Michigan Setting Facility Modifier None Typical Low $5,495.41 Median $8,128.31 Typical High $13,803.84 | Facility | None | $5,495.41 | $8,128.31 | $13,803.84 |
BCBS Michigan Setting Professional Modifier None Typical Low $645.65 Median $676.08 Typical High $724.44 | Professional | None | $645.65 | $676.08 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,344.23 | $2,951.21 | $2,951.21 |
Health Alliance Plan Setting Facility Modifier None Typical Low $912.01 Median $1,000.00 Typical High $10,232.93 | Facility | None | $912.01 | $1,000.00 | $10,232.93 |
Health Alliance Plan Setting Professional Modifier None Typical Low $346.74 Median $489.78 Typical High $10,964.78 | Professional | None | $346.74 | $489.78 | $10,964.78 |
Priority Health Setting Professional Modifier None Typical Low $467.74 Median $2,951.21 Typical High $2,951.21 | Professional | None | $467.74 | $2,951.21 | $2,951.21 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $7,943.28 Typical High $10,964.78 | Facility | None | $3,467.37 | $7,943.28 | $10,964.78 |
United Setting Professional Modifier None Typical Low $436.52 Median $1,348.96 Typical High $3,981.07 | Professional | None | $436.52 | $1,348.96 | $3,981.07 |
10 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 $1,548.82 Median $1,621.81 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,548.82 | $1,621.81 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $645.65 Typical High $676.08 | Professional | 53 · Discontinued | $616.60 | $645.65 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,290.87 Median $2,454.71 Typical High $2,570.40 | Professional | 54 · Surgery only | $2,290.87 | $2,454.71 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $457.09 Median $489.78 Typical High $512.86 | Professional | 55 · Aftercare only | $457.09 | $489.78 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $323.59 Typical High $338.84 | Professional | 56 · Pre-op care only | $309.03 | $323.59 | $338.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,621.81 | $1,621.81 | $1,621.81 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | 53 · Discontinued | $645.65 | $645.65 | $645.65 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $2,398.83 Median $2,454.71 Typical High $2,454.71 | Professional | 54 · Surgery only | $2,398.83 | $2,454.71 | $2,454.71 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 55 · Aftercare only | $489.78 | $489.78 | $489.78 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 56 · Pre-op care only | $323.59 | $323.59 | $323.59 |
Where Michigan sits
The same service costs 14.1 times more in Alaska than in Missouri. 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· 50th of 51
$724
AK $8,511MO $603
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.