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 $239.88 Median $645.65 Typical High $724.44 | Facility | None | $239.88 | $645.65 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $239.88 Typical High $524.81 | Professional | None | $234.42 | $239.88 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $36.31 Typical High $79.43 | Professional | 55 · Aftercare only | $34.67 | $36.31 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.99 Typical High $52.48 | Professional | 56 · Pre-op care only | $23.44 | $23.99 | $52.48 |
BCBS Michigan Setting Facility Modifier None Typical Low $234.42 Median $288.40 Typical High $831.76 | Facility | None | $234.42 | $288.40 | $831.76 |
BCBS Michigan Setting Professional Modifier None Typical Low $223.87 Median $234.42 Typical High $263.03 | Professional | None | $223.87 | $234.42 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $234.42 | Professional | None | $190.55 | $190.55 | $234.42 |
Health Alliance Plan Setting Facility Modifier None Typical Low $251.19 Median $630.96 Typical High $724.44 | Facility | None | $251.19 | $630.96 | $724.44 |
Health Alliance Plan Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $316.23 | Professional | None | $234.42 | $234.42 | $316.23 |
Priority Health Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $234.42 | Professional | None | $190.55 | $190.55 | $234.42 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
United Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $302.00 | Professional | None | $229.09 | $229.09 | $302.00 |
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 JW · Drug discarded Typical Low $213.80 Median $223.87 Typical High $234.42 | Professional | JW · Drug discarded | $213.80 | $223.87 | $234.42 |
Where Michigan sits
The same service costs 1.6 times more in Arizona than in Hawaii. 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· 33rd of 51
$234
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.