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 $346.74 Median $933.25 Typical High $1,047.13 | Facility | None | $346.74 | $933.25 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $346.74 Typical High $812.83 | Professional | None | $338.84 | $346.74 | $812.83 |
BCBS Michigan Setting Facility Modifier None Typical Low $346.74 Median $416.87 Typical High $1,202.26 | Facility | None | $346.74 | $416.87 | $1,202.26 |
BCBS Michigan Setting Professional Modifier None Typical Low $323.59 Median $346.74 Typical High $380.19 | Professional | None | $323.59 | $346.74 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Health Alliance Plan Setting Facility Modifier None Typical Low $380.19 Median $912.01 Typical High $1,047.13 | Facility | None | $380.19 | $912.01 | $1,047.13 |
Health Alliance Plan Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $457.09 | Professional | None | $338.84 | $338.84 | $457.09 |
Priority Health Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $436.52 | Professional | None | $331.13 | $331.13 | $436.52 |
5 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 $169.82 Median $173.78 Typical High $407.38 | Professional | 52 · Reduced service | $169.82 | $173.78 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $69.18 Typical High $162.18 | Professional | 53 · Discontinued | $67.61 | $69.18 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $52.48 Typical High $123.03 | Professional | 55 · Aftercare only | $50.12 | $52.48 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $34.67 Typical High $81.28 | Professional | 56 · Pre-op care only | $33.88 | $34.67 | $81.28 |
BCBS Michigan Setting Professional Modifier JW · Drug discarded Typical Low $309.03 Median $323.59 Typical High $338.84 | Professional | JW · Drug discarded | $309.03 | $323.59 | $338.84 |
Where Michigan sits
The same service costs 1.5 times more in Arizona than in Rhode Island. 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· 14th of 51
$347
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.