How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,660 to $8,318Professionalmedian $759 · 10th to 90th $589 to $3,631
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 $2,570.40 Median $6,309.57 Typical High $8,317.64 | Facility | None | $2,570.40 | $6,309.57 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,691.53 Typical High $4,786.30 | Professional | None | $2,570.40 | $2,691.53 | $4,786.30 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,884.03 Median $4,168.69 Typical High $7,079.46 | Facility | None | $2,884.03 | $4,168.69 | $7,079.46 |
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 $1,778.28 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,778.28 | $2,290.87 | $2,290.87 |
Health Alliance Plan Setting Facility Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $8,317.64 | Facility | None | $1,479.11 | $1,659.59 | $8,317.64 |
Health Alliance Plan Setting Professional Modifier None Typical Low $562.34 Median $741.31 Typical High $10,000.00 | Professional | None | $562.34 | $741.31 | $10,000.00 |
Priority Health Setting Professional Modifier None Typical Low $758.58 Median $2,290.87 Typical High $2,290.87 | Professional | None | $758.58 | $2,290.87 | $2,290.87 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $6,918.31 Typical High $9,120.11 | Facility | None | $2,511.89 | $6,918.31 | $9,120.11 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,348.96 Typical High $2,951.21 | Professional | None | $724.44 | $1,348.96 | $2,951.21 |
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 $1,288.25 Median $1,348.96 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,288.25 | $1,348.96 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $537.03 Typical High $562.34 | Professional | 53 · Discontinued | $512.86 | $537.03 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,995.26 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,905.46 | $1,995.26 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $398.11 Typical High $416.87 | Professional | 55 · Aftercare only | $380.19 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $269.15 Typical High $281.84 | Professional | 56 · Pre-op care only | $257.04 | $269.15 | $281.84 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $1,318.26 Median $1,348.96 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,318.26 | $1,348.96 | $1,348.96 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $524.81 | $537.03 | $537.03 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,995.26 | $1,995.26 | $1,995.26 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 55 · Aftercare only | $398.11 | $398.11 | $398.11 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $269.15 Typical High $269.15 | Professional | 56 · Pre-op care only | $263.03 | $269.15 | $269.15 |
Where Michigan sits
The same service costs 9.3 times more in Alaska than in Indiana. 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
$871
AK $6,457IN $692
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.